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Neurocritical Care

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01-08-2015 | Practical Pearl

Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right

Authors: E. L. Scharf, C. L. Kramer, A. A. Rabinstein

Published in: Neurocritical Care | Issue 1/2015

Abstract

Background

A 78-year-old woman was transferred directly to an ICU because of intracerebral hemorrhage. However, on careful review of the initial imaging, the likely diagnosis was ischemic stroke and reperfusion hemorrhage.

Methods

Case report was explained.

Results

The patient suffered significant reperfusion hemorrhage. A CT angiogram revealed contrast extravasation “spot sign” in the bed of the expanding hemorrhage and an occlusive thromboembolism distal to the initial ischemic insult.

Conclusion

In this case of embolic ischemic stroke with reperfusion hemorrhage, contrast extravasation “spot sign” was associated with hematoma expansion.

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Title: Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right
Authors: E. L. Scharf
C. L. Kramer
A. A. Rabinstein
Publication date: 01-08-2015
Publisher: Springer US
Published in: Neurocritical Care / Issue 1/2015
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-015-0113-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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