ABSTRACT
We are presenting an unusual complication of the intravascular angiographic contrast agent in a 58-year-old male patient with the diagnosis of subarachnoid haemorrhage [SAH]. After cerebral angiography, his clinical condition deteriorates. Computed tomography scan of the brain showed the picture of SAH due to the contrast agent of extravasation. Appropriate treatment, with avoidance of additional contrast agent administration was resolved in complete neuroradiological recovery within 2 days
Subject(s)
Humans , Male , Contrast Media/adverse effects , Cerebral Angiography/methods , Neurotoxicity Syndromes/etiology , Tomography, X-Ray Computed , Diagnosis, DifferentialABSTRACT
Extramedullary hematopoiesis is a common phenomenon in thalassemia. During the disease there are very rare occasions when compensatory hematopoietic tissue is located in the intraspinal epidural space, causing spinal cord compression. This complication requires urgent neurosurgical consideration and decision for further treatment. We present a case of thoracic spinal cord compression secondary to extramedullary hematopoiesis in thalassemia intermedia, treated with irradiation therapy. The therapeutic options are discussed, and the need for more explicit therapeutic directions is highlighted