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Contrast-induced seizures after cardiac catheterization in a 6-year-old child
Valeria Sansone1, Lucienne Piazza, Gianfranco Butera
1Department of Neurology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy. valeria.sansone@unimi.it <valeria.sansone@unimi.it>
Insights
Contrast-induced seizures are a rare complication of cardiac catheterization in children. This case highlights the importance of considering this diagnosis in pediatric patients experiencing seizures after the procedure.
Area of Science:
- Pediatric Neurology
- Cardiovascular Medicine
- Radiology
Background:
- Neurologic complications following cardiac catheterization are typically embolic, leading to stroke or seizures.
- Contrast-induced seizures are an uncommon but documented adverse effect, particularly in pediatric populations.
Observation:
- A 6-year-old female underwent cardiac catheterization for aortic coarctation.
- The patient subsequently developed generalized seizures attributed to the contrast agent used during the procedure.
Findings:
- This case report details the clinical presentation, neuroimaging findings, and follow-up of a child experiencing contrast-induced seizures.
- The event was linked to cardiac catheterization for aortic coarctation.
Implications:
- Contrast-induced seizures represent a distinct neurologic complication of cardiac catheterization in children.
- Recognition of this condition is crucial for accurate diagnosis and management of seizures in pediatric patients post-procedure.
Abstract:
Neurologic complications of cardiac catheterization are usually embolic events resulting in stroke or seizures of vascular origin. Contrast-induced seizures have been rarely described in children. This report presents clinical, neuroimaging, and follow-up data of a 6-year-old female subjected to cardiac catheterization for aortic coarctation who developed contrast-induced generalized seizures. Although rare, this condition adds to the neurologic complications of cardiac catheterization in children and should be considered in the differential diagnosis of seizures of vascular origin with obvious therapeutic and prognostic implications.
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Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Cardiac Catheterization III: Left Heart Catheterization