Complications During Neuro Diagnostic Study Cause Significant Brain Damage

Case Overview

This case involves a patient who presented to the hospital with complaints of dizziness, numbness to the fingertips and face, and shortness of breath. A CT without contrast revealed a large non-specific oval-shaped mass centered in the region of the left petrous bone with associated bone erosion. Radiological reports stated that the lesion was suspicious for chondrosarcoma. A further CT angiography demonstrated a non-enhancing hyperdense extra-axial mass with the left middle cranial fossa. During the procedure, venography was performed in an attempt to diagnose the venous drainage of the lesion but this step was met with some difficulty in passing the dye contrast. The pressure of the dye injection device was increased to facilitate adequate flow. The images show severe extravasation of dye contrast into the surrounding brain parenchyma and the physical exam of the patient showed blown pupils.

Questions to the Neurosurgery expert and their responses

Is this a known complication of the procedure?

Major complications in cerebral angiography are rare but include stroke, an allergic reaction to the anaesthetic other medication or the contrast medium, blockage or damage to one of the access veins in the leg, or thrombosis and embolism formation. Bleeding or bruising at the site where the contrast is injected are minor complications, delayed bleeding can also occur but is rare.

About the expert

This board certified neurosurgeon has remained in active medical practice for over 20 years, and is a member of several professional medical societies and national committees. He is also a professor at his current institution, and has authored a vast body of medical publications and textbooks. Finally, he has also given nationally invited neurosurgical presentations, as well as television interviews in his field.

E-000572

Specialties:

Neurosurgery

Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.