Neurological complications of coronary arteriography
The authors report a 46 year-old female who was submitted to a right femoral artery coronary arteriography. During the procedure she presented an upward, downward and convergence gaze paresis; an upbeating nystagmus. A NMRI showed a change in T-2 weighted signal of the left paramedian mesencephalic...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006&lng=en&tlng=en |
| _version_ | 1811323629256835072 |
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| author | Eduardo Genaro Mutarelli Siguemituzo Arie Flávio Alóe Milberto Scaff |
| author_facet | Eduardo Genaro Mutarelli Siguemituzo Arie Flávio Alóe Milberto Scaff |
| author_sort | Eduardo Genaro Mutarelli |
| collection | DOAJ |
| description | The authors report a 46 year-old female who was submitted to a right femoral artery coronary arteriography. During the procedure she presented an upward, downward and convergence gaze paresis; an upbeating nystagmus. A NMRI showed a change in T-2 weighted signal of the left paramedian mesencephalic region. A diagnosis of stroke was made and dextran 40 was prescribed. Vertical gaze paresis progressively disappeared. Convergence paresis and nystagmus improved partially only. The possible pathophysiological basis underlying this clinical picture are: catheter-induced dislodgement of an atheromatous plaque; small thrombi formation and release from the catheter tip; catheter-induced vascular lesion with subsequent thromboembolism or dissection of the intima; cardiac arrhythmia; catheter-induced or contrast medium-induced arterial spasm; a combination of two or more of these. |
| first_indexed | 2024-04-13T13:59:38Z |
| format | Article |
| id | doaj.art-4e94723317a443ca9903f8fabfa9dab9 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-04-13T13:59:38Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-4e94723317a443ca9903f8fabfa9dab92022-12-22T02:44:05ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460112464664810.1590/S1516-31801994000400006S1516-31801994000400006Neurological complications of coronary arteriographyEduardo Genaro Mutarelli0Siguemituzo Arie1Flávio Alóe2Milberto Scaff3Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloThe authors report a 46 year-old female who was submitted to a right femoral artery coronary arteriography. During the procedure she presented an upward, downward and convergence gaze paresis; an upbeating nystagmus. A NMRI showed a change in T-2 weighted signal of the left paramedian mesencephalic region. A diagnosis of stroke was made and dextran 40 was prescribed. Vertical gaze paresis progressively disappeared. Convergence paresis and nystagmus improved partially only. The possible pathophysiological basis underlying this clinical picture are: catheter-induced dislodgement of an atheromatous plaque; small thrombi formation and release from the catheter tip; catheter-induced vascular lesion with subsequent thromboembolism or dissection of the intima; cardiac arrhythmia; catheter-induced or contrast medium-induced arterial spasm; a combination of two or more of these.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006&lng=en&tlng=encoronary arteriographyneurological complicationsvertebro-basilar circulationNMRI |
| spellingShingle | Eduardo Genaro Mutarelli Siguemituzo Arie Flávio Alóe Milberto Scaff Neurological complications of coronary arteriography São Paulo Medical Journal coronary arteriography neurological complications vertebro-basilar circulation NMRI |
| title | Neurological complications of coronary arteriography |
| title_full | Neurological complications of coronary arteriography |
| title_fullStr | Neurological complications of coronary arteriography |
| title_full_unstemmed | Neurological complications of coronary arteriography |
| title_short | Neurological complications of coronary arteriography |
| title_sort | neurological complications of coronary arteriography |
| topic | coronary arteriography neurological complications vertebro-basilar circulation NMRI |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006&lng=en&tlng=en |
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