[Acute poisoning by carbon monoxide affecting the extrapyramidal system]

A case record of a 19-year old women acutely poisoned by carbon monoxide is presented. The state of the patient was very serious with loss of consciousness, cerebral oedema and acute circulatory failure, manifested by pulmonary oedema. The presence of carboxyhemoglobin in concentration of 45% was found in the blood. During the second week after the incident, extrapyramidal symptoms, manifested by hyperkinetic-hypokinetic syndrome with predominant involuntary movement, was observed. The diagnostic examinations of the central nervous system showed necrosis of globus pallidus, external capsule and a part of internal capsule.