Contrast-Induced Neurotoxicity following Cardiac Catheterization
We report a case of probable contrast-induced neurotoxicity that followed a technically challenging cardiac catheterization in a 69-year-old woman. The procedure had involved the administration of a large cumulative dose of an iodinated, nonionic contrast medium into the innominate artery: twelve ho...
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doaj-ab187829dc804b76ab316f97502e5e782020-11-25T00:22:51ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/267860267860Contrast-Induced Neurotoxicity following Cardiac CatheterizationSusan Law0Kessarin Panichpisal1Melaku Demede2Sabu John3Jonathan D. Marmur4Jaya Nath5Alison E. Baird6Department of Neurology, SUNY Downstate Medical Center, 450 Clarkson Avenue, P.O. Box 1274, Brooklyn, NY 11203, USADivision of Neurology, Bumrungrad International Hospital, Bangkok 10110, ThailandDivisions of Cardiology, SUNY Downstate Medical Center and Kings County Hospital Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADivisions of Cardiology, SUNY Downstate Medical Center and Kings County Hospital Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADivisions of Cardiology, SUNY Downstate Medical Center and Kings County Hospital Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADivisions of Radiology, SUNY Downstate Medical Center and Kings County Hospital Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Neurology, SUNY Downstate Medical Center, 450 Clarkson Avenue, P.O. Box 1274, Brooklyn, NY 11203, USAWe report a case of probable contrast-induced neurotoxicity that followed a technically challenging cardiac catheterization in a 69-year-old woman. The procedure had involved the administration of a large cumulative dose of an iodinated, nonionic contrast medium into the innominate artery: twelve hours following the catheterization, the patient developed a seizure followed by a left hemiplegia, and an initial computed tomography (CT) scan showed sulcal effacement in the right cerebral hemisphere due to cerebral swelling. The patient’s clinical symptoms resolved within 24 hours, and magnetic resonance imaging at 32 hours showed resolution of swelling. Contrast-induced neurotoxicity should be found in the differential diagnosis of acute neurological deficits occurring after radiological procedures involving iodinated contrast media, whether ionic or nonionic.http://dx.doi.org/10.1155/2012/267860 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Susan Law Kessarin Panichpisal Melaku Demede Sabu John Jonathan D. Marmur Jaya Nath Alison E. Baird |
spellingShingle |
Susan Law Kessarin Panichpisal Melaku Demede Sabu John Jonathan D. Marmur Jaya Nath Alison E. Baird Contrast-Induced Neurotoxicity following Cardiac Catheterization Case Reports in Medicine |
author_facet |
Susan Law Kessarin Panichpisal Melaku Demede Sabu John Jonathan D. Marmur Jaya Nath Alison E. Baird |
author_sort |
Susan Law |
title |
Contrast-Induced Neurotoxicity following Cardiac Catheterization |
title_short |
Contrast-Induced Neurotoxicity following Cardiac Catheterization |
title_full |
Contrast-Induced Neurotoxicity following Cardiac Catheterization |
title_fullStr |
Contrast-Induced Neurotoxicity following Cardiac Catheterization |
title_full_unstemmed |
Contrast-Induced Neurotoxicity following Cardiac Catheterization |
title_sort |
contrast-induced neurotoxicity following cardiac catheterization |
publisher |
Hindawi Limited |
series |
Case Reports in Medicine |
issn |
1687-9627 1687-9635 |
publishDate |
2012-01-01 |
description |
We report a case of probable contrast-induced neurotoxicity that followed a technically challenging cardiac catheterization in a 69-year-old woman. The procedure had involved the administration of a large cumulative dose of an iodinated, nonionic contrast medium into the innominate artery: twelve hours following the catheterization, the patient developed a seizure followed by a left hemiplegia, and an initial computed tomography (CT) scan showed sulcal effacement in the right cerebral hemisphere due to cerebral swelling. The patient’s clinical symptoms resolved within 24 hours, and magnetic resonance imaging at 32 hours showed resolution of swelling. Contrast-induced neurotoxicity should be found in the differential diagnosis of acute neurological deficits occurring after radiological procedures involving iodinated contrast media, whether ionic or nonionic. |
url |
http://dx.doi.org/10.1155/2012/267860 |
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