001Ad 33F CVA post delivery

33 year old female with headache and intracerebral bleed following delivery

Acute hemorrhage right occipital region following giving birth
brain dx hemorrhage paraganglioma CTscan
Ashley Davidoff MD TheCommonVein.net 18452

Vascular Spasm

Vascular Spasm
Cerebral Angiogram in the lateral projection shows spasm in many of the vessels, best exemplified in the anterior cerebral artery.
key words  brain artery spasm arterial spasm vasospasm dx hemorrhage paraganglioma angiography angiogram
Ashley Davidoff MD TheCommonVein.net 18454
Vascular Spasm
Cerebral Angiogram in the lateral projection shows spasm in many of the vessels, best exemplified in the anterior cerebral artery.
key words  brain artery spasm arterial spasm vasospasm dx hemorrhage paraganglioma angiography angiogram
Ashley Davidoff MD TheCommonVein.net 18455
Vascular Spasm
The angiogram of the intracerebral circulation in the lateral projection shows multi focal areas of spasm (white arrows). The spastic areas are magnified in images c and d. The diagnosis of a vasculitis was suggested. At this time the diagnosis of a paraganglioma was not known. In retrospect it is likely that the contrast induced catecholamine release from the paraganglioma causing arterial spasm. brain artery spasm arterial spasm vasospasm dx hemorrhage artery spasm arterial spasm vasospasm paraganglioma angiography angiogram
key words  brain artery spasm arterial spasm vasospasm dx hemorrhage paraganglioma angiography angiogram
Ashley Davidoff MD TheCommonVein.net 18458c04
Retroperitoneal Mass
33 year old female with headache and intracerebral bleed following delivery Ct of the upper   abdomen shows a paraaortic mass with a central lucency later shown to be a paraganglioma ie an extra-adrenal pheochromocytoma CT scan 
Ashley Davidoff MD TheCommonVein.net 18460
Retroperitoneal Paraganglioma
MRI T1 weighted images through the upper abdomen shows a paraaortic mass which has a T1 bright rim and a central dark area  later shown to be a paraganglioma ie an extra-adrenal pheochromocytoma
Ashley Davidoff MD TheCommonVein.net 18464
Retroperitoneal Paraganglioma
MRI T2 weighted images through the upper abdomen shows a paraaortic mass which is T2 bright (light bulb)  later shown to be a paraganglioma ie an extra-adrenal pheochromocytoma
Ashley Davidoff MD TheCommonVein.net 18465

Radiopedia
AJR