Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report

Delayed encephalopathy (DE) is a neuropsychiatric syndrome that can arise generally within 20 days of acute carbon monoxide (CO) intoxication after apparent recovery and involves variable degrees of cognitive deficits, personality changes, movement disorders and focal neurologic deficits. We report...

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Main Authors: Fatma Polat, Nur Yüceyar, Ali Akay, Ayşe Sağduyu Kocaman
Format: Article
Language:English
Published: Galenos Yayinevi 2012-09-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-92259
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author Fatma Polat
Nur Yüceyar
Ali Akay
Ayşe Sağduyu Kocaman
author_facet Fatma Polat
Nur Yüceyar
Ali Akay
Ayşe Sağduyu Kocaman
author_sort Fatma Polat
collection DOAJ
description Delayed encephalopathy (DE) is a neuropsychiatric syndrome that can arise generally within 20 days of acute carbon monoxide (CO) intoxication after apparent recovery and involves variable degrees of cognitive deficits, personality changes, movement disorders and focal neurologic deficits. We report a 35-year-old female patient with delayed encephalopathy due to CO intoxication, presenting with cognitive impairment and mild parkinsonism despite receiving hyberbaric oxigen therapy (HBO). Magnetic resonance imaging showed abnormal signal intensity and decreased diffusivity at both caudate nuclei and globus pallidus. She continued to receive additional HBO therapy and complete recovery was reached within six months. The positive effect of early HBO therapy of selected patients in reversing the acute effects of CO intoxication is appearant. We here also review the beneficial effect of HBO in preventing or limitating the late neurocognitive deficits associated with severe CO intoxication
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spelling doaj.art-00b7ca86150e4860a1e7318403ad0e512023-02-15T16:20:58ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X1309-25452012-09-0118311812210.4274/Tnd.92259Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case ReportFatma Polat0Nur Yüceyar1Ali Akay2Ayşe Sağduyu Kocaman3Ege University Medical Faculty Deparment Of Neurology, İzmir/ TürkiyeEge University Medical Faculty Deparment Of Neurology, İzmir/ TürkiyeEge University Medical Faculty Deparment Of Neurosurgery, İzmir/ TürkiyeEge University Medical Faculty Deparment Of Neurology, İzmir/ TürkiyeDelayed encephalopathy (DE) is a neuropsychiatric syndrome that can arise generally within 20 days of acute carbon monoxide (CO) intoxication after apparent recovery and involves variable degrees of cognitive deficits, personality changes, movement disorders and focal neurologic deficits. We report a 35-year-old female patient with delayed encephalopathy due to CO intoxication, presenting with cognitive impairment and mild parkinsonism despite receiving hyberbaric oxigen therapy (HBO). Magnetic resonance imaging showed abnormal signal intensity and decreased diffusivity at both caudate nuclei and globus pallidus. She continued to receive additional HBO therapy and complete recovery was reached within six months. The positive effect of early HBO therapy of selected patients in reversing the acute effects of CO intoxication is appearant. We here also review the beneficial effect of HBO in preventing or limitating the late neurocognitive deficits associated with severe CO intoxicationhttp://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-92259carbon monoxide (CO)intoxicationdelayed encephalopatymagnetic resonance imaging(MRI)hyberbaric oxgen therapy
spellingShingle Fatma Polat
Nur Yüceyar
Ali Akay
Ayşe Sağduyu Kocaman
Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report
Türk Nöroloji Dergisi
carbon monoxide (CO)
intoxication
delayed encephalopaty
magnetic resonance imaging(MRI)
hyberbaric oxgen therapy
title Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report
title_full Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report
title_fullStr Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report
title_full_unstemmed Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report
title_short Delayed Encephalopathy of Carbon Monoxide Intoxication and Treatment with Hyperbaric Oxygen: A Case Report
title_sort delayed encephalopathy of carbon monoxide intoxication and treatment with hyperbaric oxygen a case report
topic carbon monoxide (CO)
intoxication
delayed encephalopaty
magnetic resonance imaging(MRI)
hyberbaric oxgen therapy
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-92259
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AT aliakay delayedencephalopathyofcarbonmonoxideintoxicationandtreatmentwithhyperbaricoxygenacasereport
AT aysesagduyukocaman delayedencephalopathyofcarbonmonoxideintoxicationandtreatmentwithhyperbaricoxygenacasereport