Gadolinium-Based Contrast Agent Extravasation Mimicking Subarachnoid Hemorrhage After Electroconvulsive Therapy.

Abstract:

BACKGROUND:Electroconvulsive therapy (ECT) is a safe method that has been applied for many years in medical treatment-resistant depression treatment. In this case report, contrast extravasation due to deterioration of the blood-brain barrier after ECT mimicking subarachnoid hemorrhage (SAH) on magnetic resonance imaging (MRI) is discussed. CASE DESCRIPTION:A 70-year-old male patient who underwent ECT presented with sulcal hyperintensities suggesting subarachnoid hemorrhage on fluid-attenuated inversion recovery sequence of MRI obtained after ECT. However, there was no evidence to suggest SAH on nonenhanced brain computed tomography. CONCLUSION:It should be kept in mind that patients may have contrast extravasation due to deterioration of the blood-brain barrier after ECT, and other alternative methods should be used for the diagnosis of SAH in these patients, not MRI.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Taydas O,Ogul H,Ozcan H,Kantarci M

doi

10.1016/j.wneu.2018.03.063

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

130-133

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)30541-2

journal_volume

114

pub_type

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