Cargando…

Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm

Contrast-induced encephalopathy (CIE) is a rare complication of endovascular treatment and is extensively reported as a transient and reversible phenomenon. This report describes a 62-year-old woman for embolization of an internal carotid artery (ICA) aneurysm. The operation was successful, but post...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Ying, Zhou, Ming, Wang, Dong, Liu, Tao, Chang, Pengfei, Zhang, Jie, Zhang, Rui, Luo, Yumin, Liu, Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326837/
https://www.ncbi.nlm.nih.gov/pubmed/34350209
http://dx.doi.org/10.3389/fsurg.2021.689713
_version_ 1783731934498652160
author Zhang, Ying
Zhou, Ming
Wang, Dong
Liu, Tao
Chang, Pengfei
Zhang, Jie
Zhang, Rui
Luo, Yumin
Liu, Ping
author_facet Zhang, Ying
Zhou, Ming
Wang, Dong
Liu, Tao
Chang, Pengfei
Zhang, Jie
Zhang, Rui
Luo, Yumin
Liu, Ping
author_sort Zhang, Ying
collection PubMed
description Contrast-induced encephalopathy (CIE) is a rare complication of endovascular treatment and is extensively reported as a transient and reversible phenomenon. This report describes a 62-year-old woman for embolization of an internal carotid artery (ICA) aneurysm. The operation was successful, but postoperation the patient suffered unconsciousness, blindness, hemiplegia, ophthalmoplegia, fever, and seizures. CT of the brain without the contrast showed widespread edema in the right cerebral hemisphere, which is involved in the frontal, parietal, temporal, and occipital lobes. She was diagnosed with CIE in time and treated with supportive management as soon as possible, and fortunately, the patient improved a benign course and was discharged without any neurological deficits. This study emphasizes the prevention of the CIE and the importance of early diagnosis and symptomatic treatment.
format Online
Article
Text
id pubmed-8326837
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-83268372021-08-03 Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm Zhang, Ying Zhou, Ming Wang, Dong Liu, Tao Chang, Pengfei Zhang, Jie Zhang, Rui Luo, Yumin Liu, Ping Front Surg Surgery Contrast-induced encephalopathy (CIE) is a rare complication of endovascular treatment and is extensively reported as a transient and reversible phenomenon. This report describes a 62-year-old woman for embolization of an internal carotid artery (ICA) aneurysm. The operation was successful, but postoperation the patient suffered unconsciousness, blindness, hemiplegia, ophthalmoplegia, fever, and seizures. CT of the brain without the contrast showed widespread edema in the right cerebral hemisphere, which is involved in the frontal, parietal, temporal, and occipital lobes. She was diagnosed with CIE in time and treated with supportive management as soon as possible, and fortunately, the patient improved a benign course and was discharged without any neurological deficits. This study emphasizes the prevention of the CIE and the importance of early diagnosis and symptomatic treatment. Frontiers Media S.A. 2021-07-19 /pmc/articles/PMC8326837/ /pubmed/34350209 http://dx.doi.org/10.3389/fsurg.2021.689713 Text en Copyright © 2021 Zhang, Zhou, Wang, Liu, Chang, Zhang, Zhang, Luo and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Zhang, Ying
Zhou, Ming
Wang, Dong
Liu, Tao
Chang, Pengfei
Zhang, Jie
Zhang, Rui
Luo, Yumin
Liu, Ping
Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm
title Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm
title_full Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm
title_fullStr Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm
title_full_unstemmed Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm
title_short Case Report: A 62-Year-Old Woman With Contrast-Induced Encephalopathy Caused by Embolization of Intracranial Aneurysm
title_sort case report: a 62-year-old woman with contrast-induced encephalopathy caused by embolization of intracranial aneurysm
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326837/
https://www.ncbi.nlm.nih.gov/pubmed/34350209
http://dx.doi.org/10.3389/fsurg.2021.689713
work_keys_str_mv AT zhangying casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT zhouming casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT wangdong casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT liutao casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT changpengfei casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT zhangjie casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT zhangrui casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT luoyumin casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm
AT liuping casereporta62yearoldwomanwithcontrastinducedencephalopathycausedbyembolizationofintracranialaneurysm