Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right

E. L. Scharf, C. L. Kramer, Alejandro Rabinstein

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: A 78-year-old woman was transferred directly to an ICU because of intracerebral hemorrhage. However, on careful review of the initial imaging, the likely diagnosis was ischemic stroke and reperfusion hemorrhage. Methods: Case report was explained. Results: The patient suffered significant reperfusion hemorrhage. A CT angiogram revealed contrast extravasation “spot sign” in the bed of the expanding hemorrhage and an occlusive thromboembolism distal to the initial ischemic insult. Conclusion: In this case of embolic ischemic stroke with reperfusion hemorrhage, contrast extravasation “spot sign” was associated with hematoma expansion.

Original languageEnglish (US)
Pages (from-to)113-115
Number of pages3
JournalNeurocritical Care
Issue number1
StatePublished - Aug 3 2015


  • CT angiography
  • Ischemia
  • Ischemic stroke
  • Reperfusion hemorrhage
  • Spot sign

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine


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