Intracranial Migration of Silicone Delaying Life Saving Surgical Management: A Mimicker of Hemorrhage

Authors

  • Dani Sarohia
  • Ramin Javan
  • Salim Aziz

DOI:

https://doi.org/10.3941/jrcr.v10i8.2683

Keywords:

Intraocular silicone, intracranial silicone, retinal detachment, Marfan syndrome, intraventricular hemorrhage, intracranial hemorrhage

Abstract

We present a case in which intraocular silicone injection for complex retinal detachment resulted in migration and distribution of silicone along the intracranial visual pathway, and ultimately throughout the ventricular system. Misinterpretation of this material as intracranial hemorrhage on outside computed tomography imaging delayed emergent repair of a Type A aortic dissection until the diagnosis was made on repeat imaging. A discussion of this case and salient computed tomography and magnetic resonance imaging characteristics of silicone is provided.

Author Biographies

Dani Sarohia

George Washington University.

Department of Radiology.

PGY-3/R2 Radiology Resident.

Ramin Javan

George Washington University.

Department of Radiology.

Assistant Professor of Neuroradiology.

Salim Aziz

George Washington University.

Department of Cardiothoracic Surgery.

Clinical Professor of Surgery.

Published

2016-08-17

Issue

Section

Neuroradiology