Lee Kenneth, Roncal Gemina, Ioannou Elena, Abdulmajeed Mohamed, Sethuraman Sakthivel
General Internal Medicine, Luton and Dunstable University Hospital, Luton, GBR.
Stroke Medicine, Luton and Dunstable University Hospital, Luton, GBR.
Cureus. 2025 Aug 6;17(8):e89458. doi: 10.7759/cureus.89458. eCollection 2025 Aug.
Contrast allergy in acute stroke presents a significant challenge, as many aspects of management require the use of iodinated contrast agents. In patients with known contrast allergy, standard imaging techniques may be contraindicated. This case presents a woman in her 70s who developed right-sided facial droop, weakness, and slurred speech. Initial CT head imaging showed a likely hyperdense left middle cerebral artery, and she was thrombolyzed. However, CT angiography was not performed due to severe contrast allergy, limiting further mechanical thrombectomy if required. This case highlights the need for specialized management strategies for patients with contrast allergy in acute stroke and emphasizes the importance of timely decision-making in stroke management.
急性卒中患者的对比剂过敏是一个重大挑战，因为管理的许多方面都需要使用碘化对比剂。对于已知对比剂过敏的患者，标准成像技术可能是禁忌的。本病例为一名70多岁女性，出现右侧面部下垂、无力和言语不清。最初的头颅CT成像显示左侧大脑中动脉可能高密度，遂对其进行了溶栓治疗。然而，由于严重的对比剂过敏，未进行CT血管造影，因此如果需要，限制了进一步的机械取栓治疗。本病例强调了急性卒中对比剂过敏患者需要专门的管理策略，并强调了卒中管理中及时决策的重要性。
