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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 26:1163-1165, May 2005
© 2005 American Society of Neuroradiology

Case Report
BRAIN

Active Hemorrhage into a Postresection Cavity Detected by Neuro-CT Angiography

Matthew T. Walker^a, Anoop Wattamwar^a, David Mellman^a and Jae Mo^a

^a From the Department of Radiology, Feinberg School of Medi-cine, Northwestern Memorial Hospital, Northwestern University, Chicago, IL

Address correspondence to Matthew T. Walker, MD, Depart-ment of Radiology, Feinburg School of Medicine, Northwestern University, 676 N. St. Clair Street, Chicago, IL 60611

Summary: We describe a case demonstrating active extravasation of contrast material into a hematoma resection cavity during CT angiography (CTA) that necessitated emergent reexploration, decompression, and hemostatic control. Our case highlights the value of neuro-CTA in the immediate postoperative setting and describes another scenario where CTA has added value. Prompt recognition of contrast extravasation is critical to the diagnosis and ultimately affects the quality of patient care.

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