Unusual Presentation of Transient Encephalopathy from Angiographic Contrast, After Neurointerventional Procedure.

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Abstract

Abstract Neurotoxicity from contrast media used in angiography is a rare complication from these procedures caused by disruption of the blood–brain-barrier (BBB), most of the time presenting as cortical blindness. The infrequency with which it is encountered makes it a diagnostic challenge. We present the case of a 64-year-old male who developed right hemianopsia, prosopagnosia and hallucinations after embolization of a cervical spinal dural arteriovenous fistula. The neurological deficits which appeared after the procedure, regressed completely after 48 hours. This rare entity should be kept in mind but diagnosed only when all other causes have been ruled out.
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神经介入手术后血管造影造影异常表现的一过性脑病。
血管造影造影剂引起的神经毒性是一种罕见的由血脑屏障(BBB)破坏引起的并发症,大多数情况下表现为皮质性失明。它的罕见性使其成为一种诊断挑战。我们提出的情况下,64岁的男性谁发展右半盲,人面失认症和幻觉后,栓塞颈脊髓硬脑膜动静脉瘘。手术后出现的神经功能缺陷在48小时后完全消退。这种罕见的实体应铭记在心,但只有在排除所有其他原因后才能诊断。
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