Hemiplegia resulting from acute carbon monoxide poisoning.

IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Diving and hyperbaric medicine Pub Date : 2023-06-30 DOI:10.28920/dhm53.2.155-157
Burak Turgut, Kübra Canarslan Demir, G B Sarıyerli Dursun, Taylan Zaman
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Abstract

Carbon monoxide (CO) poisoning can cause neurological complications such as movement disorders and cognitive impairment through hypoxic brain damage. Although peripheral neuropathy of the lower extremities is a known complication of CO poisoning, hemiplegia is very rare. In our case, a patient who developed left hemiplegia due to acute CO poisoning received early hyperbaric oxygen treatment (HBOT). The patient had left hemiplegia and anisocoria at the beginning of HBOT. Her Glasgow coma score was 8. A total of five sessions of HBOT at 243.2 kPa for 120 minutes were provided. At the end of the 5th session, the patient's hemiplegia and anisocoria were completely resolved. Her Glasgow coma score was 15. After nine months of follow-up, she continues to live independently with no sequelae, including delayed neurological sequelae. Clinicians should be aware that CO poisoning can (rarely) present with hemiplegia.

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急性一氧化碳中毒引起的偏瘫。
一氧化碳(CO)中毒可通过缺氧性脑损伤引起神经系统并发症,如运动障碍和认知障碍。尽管下肢周围神经病变是一氧化碳中毒的一种已知并发症,但偏瘫非常罕见。在我们的案例中,一名因急性一氧化碳中毒而出现左侧偏瘫的患者接受了早期高压氧治疗(HBOT)。患者在HBOT开始时出现左侧偏瘫和不等径畸形。她的格拉斯哥昏迷评分为8分。总共提供了5次在243.2kPa下持续120分钟的HBOT治疗。第5次疗程结束时,患者偏瘫及不等位完全缓解。她的格拉斯哥昏迷评分为15。经过九个月的随访,她继续独立生活,没有任何后遗症,包括延迟性神经后遗症。临床医生应该意识到一氧化碳中毒可以(很少)表现为偏瘫。
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来源期刊
Diving and hyperbaric medicine
Diving and hyperbaric medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.70
自引率
22.20%
发文量
37
审稿时长
>12 weeks
期刊介绍: Diving and Hyperbaric Medicine (DHM) is the combined journal of the South Pacific Underwater Medicine Society (SPUMS) and the European Underwater and Baromedical Society (EUBS). It seeks to publish papers of high quality on all aspects of diving and hyperbaric medicine of interest to diving medical professionals, physicians of all specialties, scientists, members of the diving and hyperbaric industries, and divers. Manuscripts must be offered exclusively to Diving and Hyperbaric Medicine, unless clearly authenticated copyright exemption accompaniesthe manuscript. All manuscripts will be subject to peer review. Accepted contributions will also be subject to editing.
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