A blast from the past: Incidental Pantopaque deposition in a patient with acute stroke who underwent successful thrombectomy.
1/5 보강
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
추출되지 않음
I · Intervention 중재 / 시술
successful thrombectomy (TICI 3) with excellent recovery (NIHSS 1 at discharge)
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
Recognition of its characteristic appearance, combined with awareness of historical myelography, is essential to prevent misdiagnosis. This case is unusual for its right-sided dependence, a rarely reported distribution pattern.
[BACKGROUND] Pantopaque (iofendylate) was an oil-based myelographic contrast used until the 1980s.
APA
Rapal RMLL, Siegler J, Hurley M (2025). A blast from the past: Incidental Pantopaque deposition in a patient with acute stroke who underwent successful thrombectomy.. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 34(12), 108467. https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108467
MLA
Rapal RMLL, et al.. "A blast from the past: Incidental Pantopaque deposition in a patient with acute stroke who underwent successful thrombectomy.." Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, vol. 34, no. 12, 2025, pp. 108467.
PMID
41061837 ↗
Abstract 한글 요약
[BACKGROUND] Pantopaque (iofendylate) was an oil-based myelographic contrast used until the 1980s. Residual deposits can persist for decades and mimic acute pathology on neuroimaging.
[CLINICAL CASE] An 86-year-old woman with vascular risk factors and lung cancer presented with acute left hemiparesis and facial droop (NIHSS 17). Non-contrast CT showed multiple cortical and sulcal hyperdensities, raising concern for hemorrhage or metastases. CT angiography revealed a right M1 occlusion. She underwent successful thrombectomy (TICI 3) with excellent recovery (NIHSS 1 at discharge). Further review revealed a prior Pantopaque myelogram in the 1980s, and the hyperdensities were recognized as retained contrast droplets.
[CONCLUSION] Residual Pantopaque may mimic hemorrhage or metastases on CT. Recognition of its characteristic appearance, combined with awareness of historical myelography, is essential to prevent misdiagnosis. This case is unusual for its right-sided dependence, a rarely reported distribution pattern.
[CLINICAL CASE] An 86-year-old woman with vascular risk factors and lung cancer presented with acute left hemiparesis and facial droop (NIHSS 17). Non-contrast CT showed multiple cortical and sulcal hyperdensities, raising concern for hemorrhage or metastases. CT angiography revealed a right M1 occlusion. She underwent successful thrombectomy (TICI 3) with excellent recovery (NIHSS 1 at discharge). Further review revealed a prior Pantopaque myelogram in the 1980s, and the hyperdensities were recognized as retained contrast droplets.
[CONCLUSION] Residual Pantopaque may mimic hemorrhage or metastases on CT. Recognition of its characteristic appearance, combined with awareness of historical myelography, is essential to prevent misdiagnosis. This case is unusual for its right-sided dependence, a rarely reported distribution pattern.
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🏷️ 같은 키워드 · 무료전문 — 이 논문 MeSH/keyword 기반
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