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Titolo:
Extravasation of contrast medium into brain parenchyma and CSF space afterCT or DSA of the chest or abdomen.
Autore:
Bretscheider, T; Troidl, N; Strotzer, M; Frohlich, D; Hansen, E;
Indirizzi:
Klinikum Univ Regensburg, Inst Rontgendiagnost, D-93042 Regensburg, Germany Klinikum Univ Regensburg Regensburg Germany D-93042 Regensburg, Germany Kreiskrankenhauses, Abt Anasthesiol, Landau, Germany Kreiskrankenhauses Landau Germany ses, Abt Anasthesiol, Landau, Germany Klinikum Univ Regensburg, Anasthesiol Klin, Regensburg, Germany Klinikum Univ Regensburg Regensburg Germany l Klin, Regensburg, Germany
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 6, volume: 173, anno: 2001,
pagine: 497 - 501
SICI:
1438-9029(200106)173:6<497:EOCMIB>2.0.ZU;2-4
Fonte:
ISI
Lingua:
GER
Soggetto:
CORONARY ANGIOGRAPHY; SUBARACHNOID HEMORRHAGE; CORTICAL BLINDNESS; AGENT OVERDOSE; BLOOD; BARRIER; ENHANCEMENT; DISRUPTION; NEUROTOXICITY;
Keywords:
blood-brain barrier; non-ionic contrast media; high doses of contrast media; dynamic spiral CT; DSA; sepsis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Bretscheider, T Klinikum Univ Regensburg, Inst Rontgendiagnost, Franz Josef Strauss Allee 11, D-93042 Regensburg, Germany Klinikum Univ Regensburg Franz Josef Strauss Allee 11 Regensburg Germany D-93042
Citazione:
T. Bretscheider et al., "Extravasation of contrast medium into brain parenchyma and CSF space afterCT or DSA of the chest or abdomen.", ROFO-F RONT, 173(6), 2001, pp. 497-501

Abstract

Purpose: Analysis of clinical and CT findings in patients with signs of disruption of the blood-brain or blood-CSF barrier after i.v. or i.a. administration of non-ionic contrast media. Methods: 1. Retrospective analysis of 8 patients with clinical and CT findings of disruption of the blood-brain or blood-CSF barrier after i.v. or i.a. administration of non-ionic contrastmedia (200-450 ml). 2. Prospective analysis of 30 intensive care patients with sepsis and suspected abscess, who underwent CT of the chest and abdomen with 240 ml of a non-ionic contrast medium followed by cranial CT to ruleout septic lesions. Results: The retrospective analysis proved that disruption of the blood-brain barrier may occur in elderly patients with risk factors after injection of higher amounts of contrast media. In the prospective study, equivalent CT phenomena were observed in 3 of 30 patients with sepsis. Conclusions: Hypoxemic and toxics damage to the blood-brain barrier aswell as higher amounts of contrast media may result in extravasation of contrast medium into the CSF space, which can be demonstrated by CT. For differential diagnosis, the clinical symptoms and CT patterns of a disruption of the blood-brain or blood-CSF barrier should be known.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/10/20 alle ore 11:20:15