Case Report
Volume: 8 | Issue: 5 | Published: May 03, 2024 | Pages: 109 - 112 | DOI: 10.24911/ejmcr.173-1685732612
Contrast-induced encephalopathy with acute stroke symptomatic: A case report
Authors:
Andrea Corona
, Joanna Meret Zehnder
, Marie-Elisabeth Kajdi-Schwab
, Matthias Meyer
, Christina Michaela Caporale
, Salvatore Sardo
, Francesca Margherita Porta
Article Info
Authors
Andrea Corona
Department of Anaesthesia and intensive Care, Cantonal hospital of Graubuenden, Chur, Switzerland
Joanna Meret Zehnder
Department of internal Medicine, Cantonal hospital of Graubuenden, Chur, Switzerland
Marie-Elisabeth Kajdi-Schwab
Department of Anaesthesia and intensive Care, Cantonal hospital of Graubuenden, Chur, Switzerland
Matthias Meyer
Department of Cardiology, Cantonal hospital of Graubuenden, Chur, Switzerland
Christina Michaela Caporale
Department of Neurology, Cantonal hospital of Graubuenden, Chur, Switzerland
Salvatore Sardo
Department of medical science and public health, Cagliari university Hospital, Monserrato, Italy
Francesca Margherita Porta
Department of Anaesthesia and intensive Care, Cantonal hospital of Graubuenden, Chur, Switzerland.
Publication History
Received: June 09, 2023
Revised: March 18, 2024
Accepted: March 29, 2024
Published: May 03, 2024
Abstract
Background: Contrast induced encephalopathy is an infrequent complication of contrast media administration. It is usually transient but occasionally leads to permanent neurological deficits and death. Case presentation: We report here a case of non-ionic iodized contrast induced encephalopathy after an urgent coronary angiography, in a 62 year old woman who developed symptoms of acute stroke. Although diagnostic challenge and under not specific but supportive therapy the symptoms resolved completely within 72 hours without further complications. Conclusion: CIE is a rare entity whose frequency is dependent on the increasing use of diagnostic/interventional procedures with contrast media. The exclusion of more common complications of such procedures should be prompt. The clinical scenario is challenging and should be considered, in particular in high-risk patients. The course is generally benign and requires supportive therapy.
Keywords: Contrast induced encephalopathy, complication, iodine-contrast, coronary angiography, stroke, green
