Abstract
It is a common opinion that extravasation of contrast medium in ischemic areas may damage brain tissue. Nevertheless, after the advent of intra-arterial thrombolysis, angiography is often performed early in ischemic stroke. We report a 75-year old woman who developed a left hemi-convulsive status following angiography performed for a transient ischemic event which occurred after right carotid endoarteriectomy. In this patient, the association of reperfusion with intra-arterial contrast bolus induced a status epilepticus. EEG pattern was peculiar with right epileptic discharges followed by a sustained and diffuse suppression of electric activity. Epileptic status recovered only after Propofol treatment. TPM (200 mg daily) was necessary to maintain the patient seizure-free.
Translated title of the contribution | Hemiconvulsive status epilepticus after intra-arterial contrast administration |
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Original language | Italian |
Pages (from-to) | 295-296 |
Number of pages | 2 |
Journal | Bollettino - Lega Italiana contro l'Epilessia |
Issue number | 133-134 |
Publication status | Published - Jul 2006 |
ASJC Scopus subject areas
- Clinical Neurology