An unusual cause of posterior reversible encephalopathy syndrome

Das, Biplab; Goel, Gaurav; Mahajan, Anshu; Bansal, Atma Ram; Sapra, Harsh; Jha, Ajaya Nanda

doi:10.4103/ajns.ajns_188_17

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…In addition, symptomatic headaches that develop during angiography should also be kept in mind. Symptomatic headaches due to situations such as vasodilatation of meningeal arteries, posterior reversible encephalopathy syndrome, and also cerebral hyperperfusion syndrome after carotid interventions, have been reported in the literature [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Demır

Onan

Balal

et al. 2019

Neurol Neurochir Pol.

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Introduction. Angiography headache is defined as a new headache caused directly by cerebral angiography. We aimed to investigate the prevalence and clinical characteristics of angiography headache, and its relationship with primary headaches.Material and methods. This single-centre prospective cohort study was carried out in our tertiary healthcare centre. Patients who had undergone a diagnostic cerebral angiography procedure between March 2016 and June 2017 were included in the study. During and after the procedure, we evaluated the patients in terms of occurrence of headache, and, if present, details about time to onset of headache after cerebral angiography, duration of headache, accompanying symptoms (nausea, vomiting, photophobia and phonophobia), and degree and severity of pain.Results. A total of 226 patients were included in the study. The prevalence of angiography headache was found to be 22.1% (n = 50). While angiography headache started in the first six hours in 92% (n = 46) of the patients, it started after 24 hours of the angiography procedure in only 4% (n = 2). Compressive headache was the most common type, described by 64% of the patients, whereas 4% of the patients described pricking or stabbing sensations. Angiography headache was associated with female gender, higher educational level, and a history of primary headache. Conclusion.Angiography headache is an important clinical entity that must be considered during and after angiography. Experiencing angiography headache is more common among patients with a history of primary headache.

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Section: Discussionmentioning

confidence: 99%

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Demır

Onan

Balal

et al. 2019

Neurol Neurochir Pol.

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“…The CT manifestations of CIE range from cortical and subcortical enhancement to focal high-density lesions, groove enhancement, cerebral edema, and subarachnoid space enhancement, like subarachnoid hemorrhage. [ 18 , 19 ] Measuring CT value (HU) helps to distinguish different subarachnoid hemorrhages in CIE. Blood is usually 30 to 45 HU, and contrast agent is usually 80 to 160 HU.…”

Section: Discussionmentioning

confidence: 99%

“…When it is suspected that CIE requires immediate CT scan of the brain to rule out ischemic and hemorrhagic stroke (including subarachnoid hemorrhage). The CT manifestations of CIE range from cortical and subcortical enhancement to focal high-density lesions, groove enhancement, cerebral edema, and subarachnoid space enhancement, like subarachnoid hemorrhage [18,19] . Measuring CT value (HU) helps to distinguish different subarachnoid hemorrhages in CIE.…”

Section: Discussionmentioning

confidence: 99%

Transient oculomotor paralysis after cerebral angiography

Qiu¹,

Dai

Gong³

et al. 2021

Medicine

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Rationale: A special case of transient oculomotor nerve palsy after cerebral angiography. Patient concerns: A 55-year-old man developed oculomotor nerve dysfunction after right radial artery puncture angiography. Diagnoses: Cerebral angiography-induced oculomotor nerve palsy. Interventions: According to the patient's disease state, intravenous drip of dexamethasone 10 mg/d. Outcomes: Magnetic resonance imaging (MRI) showed no abnormalities, and the patient recovered completely after 48 hours of hormone therapy. Lessons: Transient eye palsy caused by contrast agent encephalopathy is a clinically rare neurological dysfunction caused by adverse effects of contrast agents. Early prevention and correct treatment are critical.

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Iodine-based contrast medium-induced Posterior Reversible Encephalopathy Syndrome (PRES) and Contrast-Induced Encephalopathy (CIE): advocating vigilance while challenging the dichotomy

Mallio,

van der Molen

2024

Eur Radiol

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An unusual cause of posterior reversible encephalopathy syndrome

Cited by 4 publications

References 4 publications

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Transient oculomotor paralysis after cerebral angiography

Iodine-based contrast medium-induced Posterior Reversible Encephalopathy Syndrome (PRES) and Contrast-Induced Encephalopathy (CIE): advocating vigilance while challenging the dichotomy

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