Contrast‑induced encephalopathy following cerebral angiography: A case report
- Authors:
- Yicheng Liang
- Xintong Liu
- Haike Lu
- Feng Wei
- Zhu Zhang
- Songbin Lin
View Affiliations
Affiliations: Department of Neurology, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong 510220, P.R. China
- Published online on: May 5, 2022 https://doi.org/10.3892/mi.2022.41
-
Article Number:
16
-
Copyright: © Liang
et al. This is an open access article distributed under the
terms of Creative
Commons Attribution License.
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
The present study describes the case of patient with contrast‑induced encephalopathy following cerebrovascular angiography, and presents the clinical and imaging features, as well as the treatment and prognosis of this patient. Following digital subtraction angiography, cortical blindness and cognitive dysfunction were the main complaints of the patient. The emergency craniocerebral CT scan revealed hyperdense areas in the bilateral cerebellum, thalamus, sulcus and cistern, and a review of the CT scan 24 h following the procedure revealed that the hyperintense lesions were reduced or resolved in these areas. The patient obtained a good prognosis following treatment anti‑inflammatory and intracranial pressure reduction treatment. On the whole, the present study demonstrates that cognitive dysfunction may be a clinical manifestation of contrast‑induced encephalopathy. Thus, the earlier diagnosis and earlier treatment are crucial for the prognosis of patients.
View References
|
1
|
Potsi S, Chourmouzi D, Moumtzouoglou A,
Nikiforaki A, Gkouvas K and Drevelegas A: Transient contrast
encephalopathy after carotid angiography mimicking diffuse
subarachnoid haemorrhage. Neurol Sci. 33:445–448. 2012.PubMed/NCBI View Article : Google Scholar
|
|
2
|
Folstein MF, Folstein SE and McHugh PR:
‘Mini-mental state’. A practical method for grading the cognitive
state of patients for the clinician. J Psychiatr Res. 12:189–198.
1975.PubMed/NCBI View Article : Google Scholar
|
|
3
|
Yu J and Dangas G: Commentary: New
insights into the risk factors of contrast-induced encephalopathy.
J Endovasc Ther. 18:545–546. 2011.PubMed/NCBI View Article : Google Scholar
|
|
4
|
Junck L and Marshall WH: Neurotoxicity of
radiological contrast agents. Ann Neurol. 13:469–484.
1983.PubMed/NCBI View Article : Google Scholar
|
|
5
|
Rapoport S, Bookstein JJ, Higgins CB,
Carey PH, Sovak M and Lasser EC: Experience with metrizamide in
patients with previous severe anaphylactoid reactions to ionic
contrast agents. Radiology. 143:321–325. 1982.PubMed/NCBI View Article : Google Scholar
|
|
6
|
Rapoport SI and Levitan H: Neurotoxicity
of X-ray contrast media. Relation to lipid solubility and
blood-brain barrier permeability. Am J Roentgenol Radium Ther Nucl
Med. 122:186–193. 1974.PubMed/NCBI View Article : Google Scholar
|
|
7
|
Grainger R: Osmolality of intravascular
radiological contrast media. Br J Radiol. 53:739–746.
1980.PubMed/NCBI View Article : Google Scholar
|
|
8
|
Liu MR, Jiang H, Li XL and Yang P: Case
report and literature review on low-osmolar, non-ionic iodine-based
contrast-induced encephalopathy. Clin Interv Aging. 15:2277–2289.
2020.PubMed/NCBI View Article : Google Scholar
|
|
9
|
Chu YT, Lee KP, Chen CH, Sung PS, Lin YH,
Lee CW, Tsai LK, Tang SC and Jeng JS: Contrast-induced
encephalopathy after endovascular thrombectomy for acute ischemic
stroke. Stroke. 51:3756–3759. 2020.PubMed/NCBI View Article : Google Scholar
|
|
10
|
Zhao W, Zhang J, Song Y, Sun L, Zheng M,
Yin H, Zhang J, Wang W and Han J: Irreversible fatal
contrast-induced encephalopathy: A case report. BMC Neurol.
19(46)2019.PubMed/NCBI View Article : Google Scholar
|
|
11
|
Leong S and Fanning NF: Persistent
neurological deficit from iodinated contrast encephalopathy
following intracranial aneurysm coiling. A case report and review
of the literature. Interv Neuroradiol. 18:33–41. 2012.PubMed/NCBI View Article : Google Scholar
|
