Abstract
Contrast-induced encephalopathy is a rare idiosyncratic reaction to contrast material. A 56-year-old woman with hypertension developed a hemiparesis with confusion and disorientation 3 hours after routine coronary angiography. The procedure had been prolonged, and during it she had received 130 mL of iopromide contrast. A metabolic screen was negative, and cerebral angiography and MR scan of brain were normal. She recovered completely by day 5. Contrast-induced encephalopathy should be considered in patients developing focal neurological deficits following coronary angiography. Patients requiring investigations to exclude acute stroke in this setting should not receive additional intravenous or intra-arterial contrast, although MR with gadolinium appears safe. Better awareness of this complication should avoid potentially harmful interventions such as thrombolysis.
Subject
Clinical Neurology,General Medicine
Reference8 articles.
1. Risks and complications of coronary angiography: a comprehensive review;Tavakol;Glob J Health Sci,2012
2. Recurrent contrast-induced encephalopathy following coronary angiography;Spina;Intern Med J,2017
3. Ischemic Strokes After Cardiac Catheterization
4. Contrast-induced encephalopathy after percutaneous coronary intervention;Liao;Acta Cardiologica Sinica,2013
5. Contrast-induced encephalopathy post-angiography;Ting;Internet J Neurol,2013
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献