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对比剂诱发脑病的病例报告及文献综述

Case report and literature review on contrast-induced encephalopathy.

作者信息

Hamra Mardi, Bakhit Yasir, Khan Mahboob, Moore Roger

机构信息

Cardiology Department, Royal Infirmary of Edinburgh, 51 Little France Cres, Edinburgh, Scotland, EH16 4SA, UK.

Cardiology Department, Freeman Hospital, Freeman Rd, Newcastle upon Tyne, NE7 7DN, UK.

出版信息

Future Cardiol. 2017 Jul;13(4):331-335. doi: 10.2217/fca-2016-0075. Epub 2017 Jun 16.

Abstract

Contrast-induced encephalopathy (CIE) is a rare neurological complication following the administration of injectable intravascular contrast media. Patients with CIE present a wide spectrum of symptoms such as headache, transient cortical blindness, seizure and focal neurological deficits. The diagnosis of CIE requires a high index of suspicion. Its early recognition is of paramount importance in instituting the appropriate supportive treatment in the form of intravenous fluids and also in avoiding unnecessary potentially harmful treatment such as intravenous thrombolysis for suspected ischemic stroke. Here, we report the case of a 62-year-old male patient with a typical presentation of CIE immediately following coronary angiography. We then continue to briefly review the relevant literature on CIE to date.

摘要

对比剂诱导的脑病(CIE)是注射血管内造影剂后罕见的神经系统并发症。CIE患者表现出广泛的症状,如头痛、短暂性皮质盲、癫痫发作和局灶性神经功能缺损。CIE的诊断需要高度的怀疑指数。早期识别对于以静脉输液形式进行适当的支持治疗以及避免不必要的潜在有害治疗(如对疑似缺血性卒中进行静脉溶栓)至关重要。在此,我们报告一例62岁男性患者,在冠状动脉造影后立即出现典型的CIE表现。然后我们继续简要回顾迄今为止关于CIE的相关文献。

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