期刊
BMJ CASE REPORTS
卷 12, 期 11, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2019-229717
关键词
neurology (drugs And Medicines); adult intensive care; intensive care; neurology; headache (including migraines)
The differential diagnosis of the patient with encephalopathy is broad and remains a common yet challenging problem for critical care physicians. A case is presented of contrast-induced encephalopathy in an 81-year-old man undergoing a left heart catheterisation after receiving iopamidol, a low-osmolar contrast agent. Immediately after receiving contrast, our patient experienced severe headache, agitation, altered mentation and significant skin hypersensitivity. This rare, acute and reversible neurological disturbance can be associated with administration of intra-arterial, osmotic, iodinated contrast. Although uncommon, it is important to recognise the various presentations, risk factors and treatment of this condition.
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