Abstract
Accumulation of contrast medium in the subdural space after diagnostic intraarterial contrast administration is a rare observation. The authors report the case of a subdural contrast effusion (SCE) presenting during endovascular treatment of an intracranial dural arteriovenous fistula (DAVF) mimicking an acute subdural hematoma. Differentiation between the two by computed tomography (CT) or intraprocedural Dyna CT and early neurological examination can be crucial for patient management. We believe that repeated large-volume contrast injections via large-bore intermediate catheters into the territory of an (even partly) occluded DAVF may induce leakage of contrast medium into the extravascular subdural space thereby causing a SCE.
Original language | English |
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Journal | Acta Neurochirurgica |
Volume | 161 |
Issue number | 11 |
Pages (from-to) | 2403-2407 |
Number of pages | 5 |
ISSN | 0001-6268 |
DOIs | |
Publication status | Published - Nov 2019 |
Keywords
- Angiography
- Contrast extravasation
- DAVF
- Subdural contrast effusion