Gadolinium leakage into subarachnoid space and cystic metastases

Date
2013
Authors
Elçin Yildiz, A.
Atli, E.
Karli Oǧuz, K.
Advisor
Supervisor
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Instructor
Source Title
Diagnostic and Interventional Radiology
Print ISSN
13053825
Electronic ISSN
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Volume
19
Issue
3
Pages
187 - 190
Language
English
Type
Article
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Abstract

Subarachnoid space (SAS) and cystic metastatic lesions of brain parenchyma appear hypointense on fluid-attenuated inversion-recovery (FLAIR) and T1-weighted magnetic resonance imaging (MRI) unless there is a hemorrhage or elevated protein content. Otherwise, delayed enhancement and accumulation of contrast media in SAS or cyst of metastases should be considered. We present hyperintense SAS and cystic brain metastases of lung cancer on FLAIR and T1-weighted MRI, respectively, in a patient who had been previously given contrast media for imaging of spinal metastases and had mildly impaired renal functions, and discuss the relevant literature. © Turkish Society of Radiology 2013.

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Keywords
antineoplastic agent, contrast medium, gadolinium pentetate meglumine, adult, article, bone metastasis, brain metastasis, carcinomatous meningitis, case report, contrast enhancement, cystic metastasis, fluid attenuated inversion recovery, hospital admission, human, kidney disease, limb weakness, low back pain, lung squamous cell carcinoma, male, neuroimaging, neurologic examination, nuclear magnetic resonance imaging, paresis, paresthesia, pathologic fracture, spinal cord metastasis, spine metastasis, subarachnoid space metastasis, T1 weighted magnetic resonance imaging, Brain, Brain Neoplasms, Carcinoma, Squamous Cell, Contrast Media, Diagnosis, Differential, Extravasation of Diagnostic and Therapeutic Materials, Gadolinium DTPA, Humans, Image Enhancement, Lung Neoplasms, Male, Middle Aged, Spinal Neoplasms, Subarachnoid Space
Citation
Published Version (Please cite this version)