Dynamic nature of the CT angiographic "spot sign"

被引:20
作者
Chakraborty, S. [1 ]
Blacquiere, D. [2 ]
Lum, C. [1 ]
Stotts, G. [2 ]
机构
[1] Univ Ottawa, Ottawa Hosp, Div Neuroimaging, Dept Med Imaging, Ottawa, ON K1Y 4E9, Canada
[2] Univ Ottawa, Ottawa Hosp, Dept Neurol, Ottawa, ON K1Y 4E9, Canada
关键词
PRIMARY INTRACEREBRAL HEMORRHAGE; HEMATOMA EXPANSION; EXTRAVASATION; CONTRAST;
D O I
10.1259/bjr/74416385
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
100231 [临床病理学]; 100902 [航空航天医学];
摘要
The "spot sign'", first described in 2007, has shown that a focal area of contrast extravasation within an intracerebral haematoma (ICH) can be correlated with haematoma expansion. We describe a case where time-resolved dynamic CT angiography (dCTA) shows the appearance of the "spot sign" only in later images. This finding highlights the importance of timing of the static CT angiogram which, if performed too early, might result in a false-negative diagnosis.
引用
收藏
页码:E216 / E219
页数:4
相关论文
共 8 条
[1]
Extravasation of radiographic contrast is an independent predictor of death in primary intracerebral hemorrhage [J].
Becker, KJ ;
Baxter, AB ;
Bybee, HM ;
Tirschwell, DL ;
Abouelsaad, T .
STROKE, 1999, 30 (10) :2025-2032
[2]
Early hemorrhage growth in patients with intracerebral hemorrhage [J].
Brott, T ;
Broderick, J ;
Kothari, R ;
Barsan, W ;
Tomsick, T ;
Sauerbeck, L ;
Spilker, J ;
Duldner, J ;
Khoury, J .
STROKE, 1997, 28 (01) :1-5
[3]
DEMCHUCK AM, 2008, ABSTR STROK, V39, P527
[4]
Postcontrast CT Extravasation Is Associated With Hematoma Expansion in CTA Spot Negative Patients [J].
Ederies, Ashraf ;
Demchuk, Andrew ;
Chia, Tze ;
Gladstone, David J. ;
Dowlatshahi, Dar ;
BenDavit, Gabriel ;
Wong, Kelly ;
Symons, Sean P. ;
Aviv, Richard I. .
STROKE, 2009, 40 (05) :1672-1676
[6]
Contrast extravasation on CT predicts mortality in primary intracerebral hemorrhage [J].
Kim, J. ;
Smith, A. ;
Hemphill, J. C. ;
Smith, W. S. ;
Lu, Y. ;
Dillon, W. P. ;
Wintermark, M. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2008, 29 (03) :520-525
[7]
Efficacy and safety of recombinant activated factor VII for acute intracerebral hemorrhage [J].
Mayer, Stephan A. ;
Brun, Nikolai C. ;
Begtrup, Kamilla ;
Broderick, Joseph ;
Davis, Stephen ;
Diringer, Michael N. ;
Skolnick, Brett E. ;
Steiner, Thorsten .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (20) :2127-2137
[8]
CT angiography "spot sign" predicts hematoma expansion in acute intracerebral hemorrhage [J].
Wada, Ryan ;
Aviv, Richard I. ;
Fox, Allan J. ;
Sahlas, Demetrios J. ;
Gladstone, David J. ;
Tomlinson, George ;
Symons, Sean P. .
STROKE, 2007, 38 (04) :1257-1262