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

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

Dani Sarohia, Ramin Javan, Salim Aziz

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.

Keywords


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



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