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Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature

Contrast-induced encephalopathy (CIE) is an uncommon complication associated with contrast exposure during angiographic procedures that is usually transient but occasionally leads to permanent complications or death. Due to the low incidence of CIE, there are still insufficient reports. This study w...

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Autores principales: Zhang, Yujing, Zhang, Jiancheng, Yuan, Shiying, Shu, Huaqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847581/
https://www.ncbi.nlm.nih.gov/pubmed/36687520
http://dx.doi.org/10.3389/fncel.2022.1070357
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author Zhang, Yujing
Zhang, Jiancheng
Yuan, Shiying
Shu, Huaqing
author_facet Zhang, Yujing
Zhang, Jiancheng
Yuan, Shiying
Shu, Huaqing
author_sort Zhang, Yujing
collection PubMed
description Contrast-induced encephalopathy (CIE) is an uncommon complication associated with contrast exposure during angiographic procedures that is usually transient but occasionally leads to permanent complications or death. Due to the low incidence of CIE, there are still insufficient reports. This study was used to summarize the clinical features of CIE through a case report and systematic review. We summarized and reviewed 127 patients with CIE, and we found that the total incidence of CIE between men and women had no difference (49.61 and 50.39%, respectively), but the average age in female patients with CIE was older than that in male patients (62.19 and 58.77 years, respectively). Interestingly, the incidence of female patients with CIE in the poor prognosis group was significantly higher than that in the good prognosis group (62.50 and 36.51%, respectively), and the average age of these female patients in the poor prognosis group was younger than that in the good prognosis group (61.39 and 62.82 years, respectively). The contrast medium types were mainly nonionic (79.69 and 73.02%, respectively) and low-osmolar (54.69 and 71.43%, respectively) in both groups. Importantly, the total contrast media administrated in patients with poor prognoses was greater than that administrated in patients with good prognoses (198.07 and 188.60 ml, respectively). In addition, comorbidities in both groups included hypertension (55.91%), diabetes mellitus (20.47%), previous contrast history (15.75%), renal impairment (11.81%), and hyperlipidemia (3.15%). The percentage of patients with cerebral angiography was significantly higher in the poor prognosis group than that in the good prognosis group (37.50 and 9.52%, respectively), whereas the percentage of patients with coronary angiography in both groups had the opposite results (35.94 and 77.78%, respectively). In conclusion, CIE may not always have a benign outcome and can cause permanent deficits. Female gender, younger age, the higher dose of contrast medium, and the procedure of cerebral angiography may be related to the patient’s poor prognosis.
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spelling pubmed-98475812023-01-19 Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature Zhang, Yujing Zhang, Jiancheng Yuan, Shiying Shu, Huaqing Front Cell Neurosci Neuroscience Contrast-induced encephalopathy (CIE) is an uncommon complication associated with contrast exposure during angiographic procedures that is usually transient but occasionally leads to permanent complications or death. Due to the low incidence of CIE, there are still insufficient reports. This study was used to summarize the clinical features of CIE through a case report and systematic review. We summarized and reviewed 127 patients with CIE, and we found that the total incidence of CIE between men and women had no difference (49.61 and 50.39%, respectively), but the average age in female patients with CIE was older than that in male patients (62.19 and 58.77 years, respectively). Interestingly, the incidence of female patients with CIE in the poor prognosis group was significantly higher than that in the good prognosis group (62.50 and 36.51%, respectively), and the average age of these female patients in the poor prognosis group was younger than that in the good prognosis group (61.39 and 62.82 years, respectively). The contrast medium types were mainly nonionic (79.69 and 73.02%, respectively) and low-osmolar (54.69 and 71.43%, respectively) in both groups. Importantly, the total contrast media administrated in patients with poor prognoses was greater than that administrated in patients with good prognoses (198.07 and 188.60 ml, respectively). In addition, comorbidities in both groups included hypertension (55.91%), diabetes mellitus (20.47%), previous contrast history (15.75%), renal impairment (11.81%), and hyperlipidemia (3.15%). The percentage of patients with cerebral angiography was significantly higher in the poor prognosis group than that in the good prognosis group (37.50 and 9.52%, respectively), whereas the percentage of patients with coronary angiography in both groups had the opposite results (35.94 and 77.78%, respectively). In conclusion, CIE may not always have a benign outcome and can cause permanent deficits. Female gender, younger age, the higher dose of contrast medium, and the procedure of cerebral angiography may be related to the patient’s poor prognosis. Frontiers Media S.A. 2023-01-04 /pmc/articles/PMC9847581/ /pubmed/36687520 http://dx.doi.org/10.3389/fncel.2022.1070357 Text en Copyright © 2023 Zhang, Zhang, Yuan and Shu. 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 Neuroscience
Zhang, Yujing
Zhang, Jiancheng
Yuan, Shiying
Shu, Huaqing
Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature
title Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature
title_full Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature
title_fullStr Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature
title_full_unstemmed Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature
title_short Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature
title_sort contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: a case report and review of the literature
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847581/
https://www.ncbi.nlm.nih.gov/pubmed/36687520
http://dx.doi.org/10.3389/fncel.2022.1070357
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