Postangiographic contrast enhancement mimicking acute subdural hemorrhage in a patient with severe occipital headache and neurological symptoms: a case report
2008
Contrast Enhancement Mimicking Brain Bleeding After Heart Procedure
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Sudipta Chattopadhyay, Srinisavan Manivannan, Thomas Phillip
Primary Institution: Morriston Cardiac Centre, Morriston Hospital, Swansea, UK
Hypothesis
Can postangiographic contrast enhancement cause neurological symptoms that mimic acute subdural hemorrhage?
Conclusion
The patient's neurological symptoms were likely caused by classical migraine rather than an intracranial bleed.
Supporting Evidence
- The patient's symptoms resolved completely within 6 hours after the procedure.
- A CT scan 24 hours later was normal, ruling out intracranial bleeding.
- The enhancement patterns observed did not match those of an intracranial bleed.
Takeaway
A woman had severe headaches and confusion after a heart procedure, but it turned out to be a migraine, not a brain bleed.
Methodology
Case report detailing the patient's symptoms, treatment, and imaging results.
Limitations
Only one case is presented, limiting generalizability.
Participant Demographics
57-year-old woman
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website