Contrast-Induced Encephalopathy Post Gadolinium Administration: A Case Report and Literature Review

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Author Info

Athary Saleem Dana Alkandari Waleed Yousef Dragan Savic Lazar Lazovi Tarik Alsheikh

Corresponding Author

Athary Saleem
Neurosurgery Department, Jaber Al Ahmad Hospital, State of Kuwait

A B S T R A C T

Background: Contrast-induced encephalopathy (CIE) is an unusual and transient complication of intra-arterially administered contrast media during interventional procedures. We report a case of CIE post-gadolinium-based contrast administration. Case Description: A 53-year-old female patient who was presented with a long-standing history of headaches and left-sided weakness. The patient had medical history of type II diabetes mellitus, hypertension, dyslipidemia, and transient ischaemic attacks. Due to the past medical history of repetitive transient ischaemic attacks, a brain MRI was done, anterior communicating artery saccular aneurysm was incidentally discovered. So, the decision was made to proceed with cerebral angiography which revealed a non-ruptured saccular aneurysm of the anterior communicating artery that was surgically clipped. On postoperative day 4, a gadolinium-based contrast CT angiogram revealed complete exclusion of the aneurysm. Following the CT angiogram, the patient developed confusion, disorientation, aphasia, and generalized tonic-clonic seizures. An urgent head CT was done, showing unremarkable findings. Conservative measures were used to manage CIE. The patient was discharged, and the postoperative period was uneventful. Conclusion: The clinical features of CIE are non-specific, resulting in diagnostic challenges. Multiple risk factors predispose patients to CIE. Supportive measures are the main treatment option.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Fri 04, Oct 2024
Accepted: Fri 25, Oct 2024
Published: Tue 12, Nov 2024

Copyright

© 2023 Athary Saleem. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.AJSCR.2024.02.02