Transient Contrast Neurotoxicity After Percutaneous Coronary Intervention Mimicking Subarachnoid Hemorrhage in a Patient With Chronic Kidney Disease

Transient contrast neurotoxicity is a rare but well-recognized complication of angiography that is due to neurotoxicity of the contrast agent. Patients with renal dysfunction may be inclined to develop contrast medium neurotoxicity due to delayed elimination of the contrast medium in renal metabolis...

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Published inClinical medicine insights. Case reports Vol. 12; p. 1179547619867671
Main Authors Şimşek, Ersin Çagri, Ertürk, Elif, Uçar, Roza, Yilmaz, Artun Onat, Ekmekçi, Cenk, Mutlu, İnan, Sari, Cenk
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 2019
Sage Publications Ltd
SAGE Publishing
Subjects
Angioplasty
Blood-brain barrier
Brain research
Cardiovascular disease
Case Report
Case reports
Contrast agents
Convulsions & seizures
Edema
Hemodialysis
Hemorrhage
Hypertension
Kidney diseases
Medical imaging
Metabolism
Neurotoxicity
NMR
Nuclear magnetic resonance
Patients
Thromboembolism
coronary angioplasty
Contrast
neurotoxicity
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Abstract Transient contrast neurotoxicity is a rare but well-recognized complication of angiography that is due to neurotoxicity of the contrast agent. Patients with renal dysfunction may be inclined to develop contrast medium neurotoxicity due to delayed elimination of the contrast medium in renal metabolism. In this report, we present an unusual case of transient neurotoxicity in a patient with severe chronic kidney disease following percutaneous coronary intervention mimicking clinically and radiologically subarachnoid hemorrhage. The patient’s clinical symptoms improved rapidly and fully recovered after hemodialysis and conservative treatment. We believe that performing early hemodialysis is an effective treatment to improve symptoms in end-stage renal disease patients with contrast-induced encephalopathy.
AbstractList Transient contrast neurotoxicity is a rare but well-recognized complication of angiography that is due to neurotoxicity of the contrast agent. Patients with renal dysfunction may be inclined to develop contrast medium neurotoxicity due to delayed elimination of the contrast medium in renal metabolism. In this report, we present an unusual case of transient neurotoxicity in a patient with severe chronic kidney disease following percutaneous coronary intervention mimicking clinically and radiologically subarachnoid hemorrhage. The patient's clinical symptoms improved rapidly and fully recovered after hemodialysis and conservative treatment. We believe that performing early hemodialysis is an effective treatment to improve symptoms in end-stage renal disease patients with contrast-induced encephalopathy.
Author Ertürk, Elif
Uçar, Roza
Sari, Cenk
Yilmaz, Artun Onat
Ekmekçi, Cenk
Şimşek, Ersin Çagri
Mutlu, İnan
AuthorAffiliation 3 Department of Neurology, University of Health Science, Tepecik Training and Research Hospital, Izmir, Turkey
1 Department of Cardiology, University of Health Science, Tepecik Training and Research Hospital, Izmir, Turkey
2 Division of Nephrology, Department of Internal Medicine, University of Health Science, Tepecik Training and Research Hospital, Izmir, Turkey
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/31413651$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1097_MD_0000000000025583
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Keywords coronary angioplasty
Contrast
neurotoxicity
Language English
License This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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Snippet Transient contrast neurotoxicity is a rare but well-recognized complication of angiography that is due to neurotoxicity of the contrast agent. Patients with...
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StartPage 1179547619867671
SubjectTerms Angioplasty
Blood-brain barrier
Brain research
Cardiovascular disease
Case Report
Case reports
Contrast agents
Convulsions & seizures
Edema
Hemodialysis
Hemorrhage
Hypertension
Kidney diseases
Medical imaging
Metabolism
Neurotoxicity
NMR
Nuclear magnetic resonance
Patients
Thromboembolism
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Title Transient Contrast Neurotoxicity After Percutaneous Coronary Intervention Mimicking Subarachnoid Hemorrhage in a Patient With Chronic Kidney Disease
URI https://journals.sagepub.com/doi/full/10.1177/1179547619867671
https://www.ncbi.nlm.nih.gov/pubmed/31413651
https://www.proquest.com/docview/2331595800
https://www.proquest.com/docview/2423844949
https://pubmed.ncbi.nlm.nih.gov/PMC6676254
https://doaj.org/article/67f57d7d76d145ecb28058f0469d5167
Volume 12
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