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CASE REPORT Silicone Oil Migrating From Intraocular Tamponade Into the Ventricles: Case Report With Magnetic Resonance Image Findings Yasuko Tatewaki, MD,*þ Noriko Kurihara, MD, PhD,* Akihiro Sato, MD, PhD,* Ichiro Suzuki, MD, PhD,Þ Masayuki Ezura, MD, PhD,Þ and Shoki Takahashi, MD, PhDþ showed no abnormality. A CT scan of the brain demonstrated Abstract: Silicone oil is an important adjunct for intraocular tampon- a well-demarcated hyperdense lesion in the anterior horn of ade in treating retinal detachment. We report a case in which image find- the right lateral ventricle. We initially considered hemorrhage, ings suggested migration and intracranial accumulation of intraocular but the lesion’s convex shape, which encompassed the gravity- silicone. We detected silicone oil in the lateral ventricle that showed hy- independent portion of the ventricle, indicated another possi- perdensity on computed tomography, slight hyperintensity on T -weighted bility. On CT, a similar hyperdense substance in the left vitreous magnetic resonance images, and slight hypointensity on T -weighted im- represented silicone oil injected to treat tractional retinal de- ages. Applied silicone-selective imaging and proton magnetic resonance tachment from proliferative diabetic retinopathy. The mean (SD) spectroscopy confirmed the diagnosis of intraventricular silicone. CT number of the intraventricular hyperdense substance was
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Jan 1, 2011
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