Contrast-induced encephalopathy with acute stroke symptomatic: A case report

Corona, Andrea

First

Writing - Original Draft Preparation

;Zehnder, Joanna;Kajdi-Schwab, Marie-Elisabeth;Meyer, Matthias;Caporale, Christina;Sardo, Salvatore

Penultimate

Writing - Original Draft Preparation

;Porta, Francesca

2024-01-01

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Abstract

Background: Contrast induced encephalopathy is an infrequent complication of contrast media administration. It is usually transient but occasionally leads to permanent neurological deficits and death. Case presentation: We report here a case of non-ionic iodized contrast induced encephalopathy after an urgent coronary angiography, in a 62 year old woman who developed symptoms of acute stroke. Although diagnostic challenge and under not specific but supportive therapy the symptoms resolved completely within 72 hours without further complications. Conclusion: CIE is a rare entity whose frequency is dependent on the increasing use of diagnostic/interventional procedures with contrast media. The exclusion of more common complications of such procedures should be prompt. The clinical scenario is challenging and should be considered, in particular in high-risk patients. The course is generally benign and requires supportive therapy.