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[Iodinated contrast-induced encephalopathy: a pathology that must be borne in mind when carrying out endovascular

M I Morales-Casado1, F Munoz-Escudero2, J M Garcia-Benassi1

  • 1Hospital Virgen de la Salud, 45005 Toledo, Espana.

Revista De Neurologia
|November 28, 2017
PubMed

Insights

Neurotoxicity from contrast media is a rare complication of endovascular procedures. Prompt diagnosis and treatment lead to excellent outcomes, with symptoms typically resolving within 72 hours.

Area of Science:

  • Neurology
  • Radiology
  • Cardiovascular Medicine

Background:

  • Endovascular procedures for cardiovascular and cerebrovascular diseases are increasing.
  • A rare complication is contrast-induced neurotoxicity, requiring high clinical suspicion for diagnosis.

Observation:

  • A 61-year-old male experienced an epileptic attack and left-hemisphere deficit post-arteriography.
  • Vascular pathology was excluded; MRI confirmed contrast-induced encephalopathy.
  • Symptoms resolved within 72 hours with corticosteroid therapy.

Findings:

  • Contrast-induced encephalopathy presents with diverse neurological symptoms.
  • The condition is typically self-limiting, resolving within 24-72 hours.
  • Neuronal damage can occur following contrast agent administration.

Implications:

  • Early recognition of contrast-induced encephalopathy is vital for effective management.
  • The prognosis for contrast-induced encephalopathy is generally excellent.
  • This case highlights the importance of considering contrast neurotoxicity in post-procedural neurological deficits.
Abstract

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