椎动脉血管造影术后的短暂性全面性遗忘症和皮质盲：动脉痉挛作用的进一步证据
Transient global amnesia and cortical blindness after vertebral angiography: further evidence for the role of arterial spasm.
作者信息
Jackson A, Stewart G, Wood A, Gillespie J E
机构信息
Department of Neuroradiology, Manchester Royal Infirmary, United Kingdom.
出版信息
AJNR Am J Neuroradiol. 1995 Apr;16(4 Suppl):955-9.
Abstract
We describe a series of six patients who experienced severe retrograde amnesia (five cases) or cortical blindness (one case) during selective vertebral angiography. All angiograms were obtained with the same nonionic contrast medium. Analysis of the contrast batch demonstrated no abnormalities, but investigation of the angiographic suite revealed a faulty contrast warming cabinet resulting in injection of contrast material above body temperature. The warming cabinet was withdrawn, and the complication has not recurred. We believe that these symptoms reflect ischemia caused by vertebral arterial spasm.
摘要
我们描述了一系列六例患者，他们在选择性椎动脉血管造影期间出现了严重的逆行性遗忘（五例）或皮质盲（一例）。所有血管造影均使用相同的非离子型造影剂。对造影剂批次的分析未发现异常，但对血管造影室的调查发现一台造影剂加热柜存在故障，导致注入的造影剂高于体温。该加热柜已停用，并发症未再出现。我们认为这些症状反映了椎动脉痉挛引起的缺血。
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