Contrast Medium-Induced Encephalopathy After Coronary Angiography- Case Report.
contrast-induced encephalopathy
Journal
Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures)
ISSN: 2393-1809
Titre abrégé: J Crit Care Med (Targu Mures)
Pays: Poland
ID NLM: 101706934
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
15
10
2020
accepted:
19
02
2021
entrez:
1
11
2021
pubmed:
2
11
2021
medline:
2
11
2021
Statut:
epublish
Résumé
Contrast-induced encephalopathy represents a rare, reversible complication that appears after intravenous or intra-arterial exposure to contrast agents. There is no consensus in the literature regarding the mechanism of action. However, the theoretical mechanism is set around the disruption of the blood-brain barrier and the contrast agents' chemical properties. The case of a 70-year-old patient, known to have hypertension and type 2 diabetes mellitus is reported. The patient had undergone a diagnostic coronary angiography during which he received 100ml of Ioversol (Optiray 350™). Soon after the procedure, the patient began experiencing a throbbing headache, followed by intense behavioural changes and aggressive tendencies. He was transferred to the Neurology Clinic. The neurological examination was without focal neurological signs; however, the patient was very aggressive and uncooperative. The CT scan revealed a mild hyper-density in the frontal lobes. MRI scan revealed no pathological changes. Conservative treatment with diuretics and hydration was administered, and the patient experienced a complete resolution of symptoms in 72 hours. Contrast-induced encephalopathy is a possible secondary complication to contrast agents and a diagnostic challenge, and it should not be overlooked, especially following procedures that use contrast agents.
Identifiants
pubmed: 34722917
doi: 10.2478/jccm-2021-0010
pii: jccm-2021-0010
pmc: PMC8519365
doi:
Types de publication
Journal Article
Langues
eng
Pagination
145-149Informations de copyright
© 2021 Sebastian Andone, Rodica Balasa, Laura Barcutean, Zoltan Bajko, Valentin Ion, Anca Motataianu, Adina Stoian, Smaranda Maier, published by Sciendo.
Déclaration de conflit d'intérêts
Conflict of interest None to declare.
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