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  • Title: [Extravasation of contrast following coronary angiography can be misinterpretated as subarachnoid haemorrhage].
    Author: Buskov LK, Kaltoft N, Larsen CT.
    Journal: Ugeskr Laeger; 2012 Apr 23; 174(17):1163-4. PubMed ID: 22533936.
    Abstract:
    Brain parenchymal extravasation of contrast has been described after infusion of larger amounts of iodinated X-ray contrast agent. We describe a case in which a patient after infusion of 500 ml iomeprole 350 mg/ml developed neurological symptoms and a subsequent cerebral computed tomography (CT) scan was interpreted as subarachnoid haemorrhage. The patient was fully recovered within 48 hours, and a follow-up CT scan 26 hours later showed no signs of haemorrhage. In patients with sudden onset of neurological symptoms after infusion of large quantities of contrast media and a CT scan showing signs of subarachnoid haemorrhage, spinal puncture or magnetic resonance imaging should be considered prior to interventional procedures in order to verify the diagnosis.
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