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Super-selective cerebral angiography mimicking subarachnoid hemorrhage: Revisited by an old demon with a different mask!

Authors :
Sreenivasan, Sanjeev
Agarwal, Neha
Roychowdhury, Sudipta
Nanda, Anil
Gupta, Gaurav
Source :
Interventional Neuroradiology. Aug2024, Vol. 30 Issue 4, p586-591. 6p.
Publication Year :
2024

Abstract

The article discusses a case study of a patient who experienced subarachnoid hemorrhage (SAH) after undergoing super-selective cerebral angiography (SSCA). The patient had an anterior communicating artery (Acom) aneurysm, which was treated with a Woven Endo Bridge (WEB) device. However, after the procedure, the patient developed aphasia and showed signs of SAH on imaging. The article explores various possible causes for the SAH, including rupture of the embolized aneurysm, lenticulostriate aneurysm, vessel perforation, contrast-induced SAH, and iatrogenic SAH. The authors conclude that the most likely cause was iatrogenic SAH with parenchymal enhancement induced by contrast injection into the smaller M2 segment of the middle cerebral artery (MCA). [Extracted from the article]

Details

Language :
English
ISSN :
15910199
Volume :
30
Issue :
4
Database :
Academic Search Index
Journal :
Interventional Neuroradiology
Publication Type :
Academic Journal
Accession number :
180248888
Full Text :
https://doi.org/10.1177/15910199221135701