Document Detail


Contrast extravasation after bilateral inferior petrosal sinus sampling masquerading as venous subarachnoid haemorrhage.
MedLine Citation:
PMID:  19960150     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
When performed properly, bilateral inferior petrosal sinus sampling (BIPSS) for adrenocorticotropic hormone (ACTH) is rarely associated with complications. Major complications reported to date include thromboembolism, brain stem infarction, pontine haemorrhage, isolated sixth nerve palsy and venous subarachnoid haemorrhage. We describe a rare case where a predominant contrast extravasation into the subarachnoid space, admixed with a small quantity of venous blood, occurring during BIPSS in a 58-year-old woman with ACTH-dependent Cushing's syndrome, was misinterpreted as venous subarachnoid haemorrhage.
Authors:
F L W Ho; E C Cunanan; S C Wang; J J Mukherjee
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  50     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-04     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e380-3     Citation Subset:  IM    
Affiliation:
Department of Medicine, National University Hospital, Singapore.
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MeSH Terms
Descriptor/Qualifier:
Adrenocorticotropic Hormone / blood
Brain Stem / pathology
Cushing Syndrome / complications,  diagnosis*
Diagnosis, Differential
Extravasation of Diagnostic and Therapeutic Materials*
Female
Humans
Middle Aged
Petrosal Sinus Sampling*
Subarachnoid Hemorrhage / diagnosis*
Thromboembolism / etiology
Tomography, X-Ray Computed / methods
Veins / pathology*
Chemical
Reg. No./Substance:
9002-60-2/Adrenocorticotropic Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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