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Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1119--1120

CT “Spot” and “Leakage” Signs Predicting Intracerebral Hematoma Expansion

Dhinu J Mathews, S Ananth Ram, Boby V Maramattom 
 Department of Neurology, Aster Medcity, Kochi, Kerala, India

Correspondence Address:
Boby V Maramattom
Department of Neurology, Aster Medcity, Kochi - 682 023, Kerala
India




How to cite this article:
Mathews DJ, Ram S A, Maramattom BV. CT “Spot” and “Leakage” Signs Predicting Intracerebral Hematoma Expansion.Neurol India 2021;69:1119-1120


How to cite this URL:
Mathews DJ, Ram S A, Maramattom BV. CT “Spot” and “Leakage” Signs Predicting Intracerebral Hematoma Expansion. Neurol India [serial online] 2021 [cited 2021 Oct 17 ];69:1119-1120
Available from: https://www.neurologyindia.com/text.asp?2021/69/4/1119/325367


Full Text



A 56-year-old male patient presented with acute onset left hemiplegia of 1 h duration. He was on aspirin 75 mg daily for a coronary bypass surgery 5 years ago. A plain CT followed by CT angiogram (CTA) and delayed phase CTA at 3 and 5 min showed a spot sign and leakage signs, suggestive of an expanding hematoma [Figure 1]. At 2 h, his sensorium deteriorated further and a repeat CT scan showed a massive increase in the intracerebral bleed. He was taken up for decompressive craniectomy but remained comatose after surgery. Combining plain CT with CTA and delayed phase CTA sequences may demonstrate a “spot sign” or a “leakage sign” and increase the sensitivity of prediction of intracerebral hemorrhage expansion.[1],[2]{Figure 1}

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Orito K, Hirohata M, Nakamura Y, Takeshige N, Aoki T, Hattori G, et al. Leakage sign for primary intracerebral hemorrhage: A novel predictor of hematoma growth. Stroke 2016;47:958-63.
2Chakraborty S, Alhazzaa M, Wasserman JK, Sun YY, Stotts G, Hogan MJ, et al. Dynamic characterization of the CT angiographic 'spot sign'. PLoS One 2014;9:e90431.