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Stroke, Vol 17, 898-901, Copyright © 1986 by American Heart Association

ARTICLES

Contrast enhancement CT scan and post-endarterectomy hemorrhage

AH Ropper and SM Kehne

Cerebral hemorrhage, an unusual complication of endarterectomy, is often attributed to postoperative hypertension. A patient with a middle cerebral artery stroke had a hemorrhage without hypertension, 2 days postoperatively. Pronounced contrast enhancement of the infarction during the 7 weeks prior to surgery reflected severe disruption of the blood-brain barrier. Contrast CT scans may detect patients at risk for post-endarterectomy hemorrhage even 2 months after a stroke or TIA.