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KMID : 0359720150330010018
Journal of the Korean Neurological Association
2015 Volume.33 No. 1 p.18 ~ p.20
Spot Sign on Initial Brain Computed Tomography Angiography Source Image to Predict Large Hemorrhagic Transformation after Middle Cerebral Artery Infarction
Chung Su-Jin

Kim Young-Gwang
Lee Jun-Hong
Choi Sun-Ah
Cho Jeong-Hee
Kim Jong-Hun
Kim Gyu-Sik
Abstract
The spot sign refers to tiny enhanced foci within the hematoma on a brain computed tomography angiography image. A
spot sign is usually considered to be associated with hematoma progression in patients with acute intracerebral
hemorrhage. We describe a patient with infarction of the left middle cerebral artery where a spot sign was observed. A
spot sign may also have significant predictive value for large hemorrhagic transformation in patients with ischemic
stroke.
KEYWORD
Cerebral infarction, Spot sign, Hemorrhagic transformation
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