Contrast-induced Encephalopathy after Endovascular Embolization of an Anterior Communicating Artery Aneurysm:Case Report and Literature Review

• 作者: Lin Zhao Wen-Jing Zhou Lu Yang Yan-Chao Huo Yao-Ming Xu
• 来源期刊: 心身医学研究
• 学科: 医学
• 关键词: Endovascular embolization Intracranial aneurysm Contrast-induced encephalopathy NEUROTOXICITY Adverse event Neurological intervention
• 年，卷（期）: 2021,（1）
• 页码范围: 33-38
• 页数: 6页
• 分类号: R73

摘要

We report a case of contrast-induced encephalopathy after endovascular embolization of an anterior communicating artery aneurysm.A 59-year-old woman was admitted to Tongliao Hospital for neurointerventional treatment due to a left anterior communicating artery aneurysm.She had a history of hypertension,which was controlled by regular medication.The contraindications were eliminated following a preoperative examination,and head computed tomography(CT)showed no abnormalities.After evaluation,interventional embolization was performed.Three hours postoperatively,the patient complained of a headache on the right side,which was accompanied by frequent nausea.Emergency head CT showed no intracranial hemorrhage,obvious brain tissue edema in the right cerebral hemisphere,blurred sulcus/gyrus,or metal artifacts(spring coils)in the left frontal lobe.The patient was diagnosed with contrast-induced encephalopathy(CIE).This patient achieved good prognosis through timely and reasonable treatment.CIE is very rare clinically,improper treatment may lead to irreversible clinical outcomes;it should cause alarm to doctors.