Non-Enhanced CT Mimicking Contrast Enhanced CT - A Case Report on Polycythemia

Authors

  • Pooja Varwatte
  • Gurubharath Ilangovan
  • Harshavardhan Balaganesan
  • Hussain Baary
  • Anandapadmanabhan Jayajothi

DOI:

https://doi.org/10.3941/jrcr.v13i4.3481

Keywords:

Hyperdense cerebral vasculature, Non-Contrast Computed Tomography, Polycythaemia, Increased hematocrit, MR venogram, CT venography

Abstract

Diffuse hyperdense cerebral vasculature is sometimes encountered on non-enhanced computed tomography, and polycythemia is one of the conditions which appears the same. The current case report is of a case of 37-year-old female patient arrived with a complaint of feeling severe headache for the past 3 days which was insidious in onset, diffuse in nature and it did not respond to any medication. NECT brain study showed the hyperdense circle of Willis and cerebral venous sinuses. Contrast was not administered for computed tomography study of the brain. On blood investigations, the patient had raised hematocrit level (74%). The hyperdense vessel was due to raised hematocrit (Polycythemia Vera).

Author Biographies

Pooja Varwatte

Dr.Pooja varwatte

Postgraduate MD Radiodiagnosis

SSKB collge Road,Basavanagar,Tripuranth,Basavakalyan Dist:Bidar 585327

Gurubharath Ilangovan

Professor and HOD

Department of Radiodiagnosis

 

Address : 100 A/5, 11th Sector, 66th Street

Ponnambalam Salai, KK Nagar, Chennai, India 600078

 

 

Harshavardhan Balaganesan

Senior Resident 

Department of Radiodiagnosis

2D,Aarthi apartments, 40th street,Nanganallur,Chennai,Tamilnadu 600061

Hussain Baary

Senior Resident 

Department of Radiodiagnosis

Anandapadmanabhan Jayajothi

MD, Neuroradiology fellow, FRCR

Department of Radiodiagnosis

Published

2019-03-29

Issue

Section

Neuroradiology