[1]董耀武,杨海峰.脑血管造影术后并发高位截瘫1例[J].中国临床神经外科杂志,2024,29(01):58-59.[doi:10.13798/j.issn.1009-153X.2024.01.015]
　DONG Yao-wu,YANG Hai-feng.A case of high paraplegia after cerebral digital subtraction angiography[J].,2024,29(01):58-59.[doi:10.13798/j.issn.1009-153X.2024.01.015]
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脑血管造影术后并发高位截瘫1例()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年01期
页码:
58-59
栏目:
个案报道
出版日期:
2024-01-30

文章信息/Info

Title:
A case of high paraplegia after cerebral digital subtraction angiography
文章编号:
1009-153X（2024）01-0058-02
作者:
董耀武; 杨海峰
430056武汉，武汉科技大学附属武汉亚心总医院神经外科（董耀武）；430022武汉，华中科技大学同济医学院附属协和医院神经外科（杨海峰）
Author(s):
DONG Yao-wu1;  YANG Hai-feng2
1. Department of Neurosurgery, Wuhan Asia General Hospital, Wuhan University of Science and Technology, Wuhan 430056, China; 2. Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022
关键词:
造影剂脑病; 脑血管造影术; 高位截瘫
Keywords:
Contrast-induced encephalopathy;  Digital subtraction angiography (DSA);  High paraplegia
分类号:
R 743
DOI:
10.13798/j.issn.1009-153X.2024.01.015
文献标志码:
B
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.

参考文献/References:

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[2] ZHANG L, DU W. Contrast-agent encephalopathy and its associated mechanisms [J]. Med Innovat China, 2013,10(33): 160-162.张　靓，杜　伟. 造影剂脑病及其相关机制研究[J]. 中国医学创新，2013，10（33）：160-162.
[3] BABLOVAL, RUZINAK R, BALLOVA J, et al. Contrast-inducedencephalopathy [J]. Bratisl Lek Listy, 2021, 122(9): 618-620.
[4] VIGANO' M, MANTERO V, BASILICO P, et al. Contrast-inducedencephalopathy mimicking total anterior circulation stroke: acasereport and review of the literature [J]. Neurol Sci, 2021, 42(3):1145-1150.
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备注/Memo

备注/Memo:
（2022-04-16收稿，2022-09-12修回）
更新日期/Last Update: 2024-01-30