Contrast-induced encephalopathy with acute stroke symptomatic: a case report

Abstract

Background: Contrast-induced encephalopathy (CIE) is an infrequent complication of contrast media administration. It is usually transient but occasionally leads to permanent neurological deficits and death. Case Presentation: We report here a case of nonionic iodized CIE after an urgent coronary angiography, in a 62-year-old woman who developed symptoms of acute stroke. Although diagnostic challenge and under not specific but supportive therapy the symptoms resolved completely within 72 hours without further complications. Conclusion: CIE is a rare entity whose frequency is dependent on the increasing use of diagnostic/interventional procedures with contrast media. The exclusion of more common complications of such procedures should be prompt. The clinical scenario is challenging and should be considered, in particular in high-risk patients. The course is generally benign and requires supportive therapy.