Contrast-Induced Encephalopathy Mimicking Stroke after Cardiac Catheterization: A Case Report

An 84-year-old woman with hypertension and chronic kidney disease had a non-ST segment elevation myocardial infarction. After undergoing successful cardiac catheterization and stent placement, she developed left-sided weakness from contrast-induced encephalopathy, which is often confused with stroke. Management involved avoiding further contrast exposure, opting for MRA and MRV, and treatment with IV hydration and steroids. This case emphasizes the importance of careful imaging choices in managing contrast-induced encephalopathy to prevent additional neurologic damage.

Authors

Publication Details

Journal
Neurographics
Published
2024-10-01
DOI
https://doi.org/10.3174/ng.2400001
Citations
1
Primary Topic
Acute Ischemic Stroke Management
Type
article
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article

Contrast-Induced Encephalopathy Mimicking Stroke after Cardiac Catheterization: A Case Report

Jane Quinlan, Tamer Abdelhak, Hardeep Uppal
1 citations
Neurographics
Acute Ischemic Stroke Management
article

Contrast-Induced Encephalopathy Mimicking Stroke after Cardiac Catheterization: A Case Report

Jane Quinlan, Tamer Abdelhak, Hardeep Uppal
article en
1 citations

Abstract

An 84-year-old woman with hypertension and chronic kidney disease had a non-ST segment elevation myocardial infarction. After undergoing successful cardiac catheterization and stent placement, she developed left-sided weakness from contrast-induced encephalopathy, which is often confused with stroke. Management involved avoiding further contrast exposure, opting for MRA and MRV, and treatment with IV hydration and steroids. This case emphasizes the importance of careful imaging choices in managing contrast-induced encephalopathy to prevent additional neurologic damage.

NeurographicsVol. 14(4)
Openalex Percentile: Top 62%
Acute Ischemic Stroke Management
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