脑血管造影术后并发高位截瘫1例
A case of high paraplegia after cerebral digital subtraction angiography
董耀武 1杨海峰2
作者信息
- 1. 430056 武汉,武汉科技大学附属武汉亚心总医院神经外科
- 2. 430022 武汉,华中科技大学同济医学院附属协和医院神经外科
- 折叠
摘要
造影剂脑病(CIE)是一种在血管内使用造影剂后出现神经功能缺损的罕见疾病,通常有自限性,不会产生严重的后遗症.本文报道1例CIE,51岁女性,有高血压病史,术前无明显神经功能缺损的症状,使用碘克沙醇造影剂行DSA后出现高位截瘫的严重并发症,病人四肢肌力进行性下降至0级,感觉丧失,但病人意识清楚,经过积极治疗后症状未见明显缓解.这是极其罕见的CIE,提示临床医生应该预防其发生.
Abstract
Contrast-induced encephalopathy(CIE)is a rare condition characterized by neurological impairment following intravascular exposure to contrast media.Typically self-limiting,it does not result in significant long-term consequences.We reported a 51-year-old female patient with CIE,who had a history of hypertension and exhibited no apparent signs of neurological deficits prior to digital subtraction angiography(DSA).Following DSA using iodixanol contrast media,she experienced a severe complication manifesting as high-level paraplegia.The patient exhibited progressive grade 0 limb muscle weakness and sensory loss,while maintaining consciousness.Despite active treatment,the symptoms remained unimproved.This case is exceptionally rare in clinic,emphasizing the importance for clinicians to implement preventive measures for CIE.
关键词
造影剂脑病/脑血管造影术/高位截瘫Key words
Contrast-induced encephalopathy/Digital subtraction angiography(DSA)/High paraplegia引用本文复制引用
出版年
2024
NETL
NSTL
万方数据