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- E L Scharf, C L Kramer, and A A Rabinstein.
- Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, scharf.eugene@mayo.edu.
- Neurocrit Care. 2015 Aug 1; 23 (1): 113-5.
BackgroundA 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.MethodsCase report was explained.ResultsThe 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.ConclusionIn this case of embolic ischemic stroke with reperfusion hemorrhage, contrast extravasation "spot sign" was associated with hematoma expansion.
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