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Evolution of Computed Tomography Angiography Spot Sign Is Consistent With a Site of Active Hemorrhage in Acute Intracerebral Hemorrhage
Author(s) -
Dar Dowlatshahi,
Jason K. Wasserman,
Franco Momoli,
William Petrcich,
Grant Stotts,
M. Hogan,
Mukul Sharma,
Richard I. Aviv,
Andrew M. Demchuk,
Santanu Chakraborty
Publication year - 2013
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.113.003387
Subject(s) - medicine , hematoma , extravasation , intracerebral hemorrhage , radiology , angiography , spontaneous intracerebral hemorrhage , bright spot , nuclear medicine , pathology , subarachnoid hemorrhage , paleontology , biology
CT angiography spot sign predicts hematoma expansion in patients with acute intracerebral hemorrhage (ICH). The spot sign may represent a site of active extravasation, a locus of arrested hemorrhage forming fibrin globes, or represent associated epiphenomena such as hypertensive microaneurysms. We sought to describe the evolution of spot signs over 60 seconds in acute ICH using dynamic CT angiography and determine whether they grow and diffuse into the hematoma as would be expected with active extravasation.

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