Gadolinium leakage into the surgical bed mimicking residual enhancement following spinal cord surgery: Case report

Matthew Walker*, Saquib Khawar, Ali Shaibani, Sireen Reddy, Aruna Ganju, Manu Gupta

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Intramedullary spinal cord surgery can disrupt the blood-spinal cord barrier and cause intravascular contents to leak into the surgical cavity. Immediate postoperative Gd-enhanced magnetic resonance (MR) imaging can demonstrate leakage of contrast into the surgical bed and complicate the assessment of whether a residual enhancing tumor is present. The authors report a case in which the preoperative lesion was nonenhancing and not expected to enhance on postoperative imaging. A Gd-enhanced MR imaging study obtained less than 24 hours after surgery revealed that the intramedullary surgical cavity was filled with contrast material. Because of the time course and the lesion's preoperative appearance, this "enhancement" was known to be caused by the leakage of medium into the resection cavity rather than of pathological soft-tissue enhancement.

Original languageEnglish (US)
Pages (from-to)291-294
Number of pages4
JournalJournal of neurosurgery
Volume100
Issue number3 SUPPL.
StatePublished - Mar 1 2004

Keywords

  • Gadolinium leakage
  • Postoperative enhancement
  • Spinal cord

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Gadolinium leakage into the surgical bed mimicking residual enhancement following spinal cord surgery: Case report'. Together they form a unique fingerprint.

Cite this