Neurological complications of coronary arteriography

Detalhes bibliográficos
Autor(a) principal: Mutarelli,Eduardo Genaro
Data de Publicação: 1994
Outros Autores: Arie,Siguemituzo, Alóe,Flávio, Scaff,Milberto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006
Resumo: 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.
id APM-1_9e06d085db4b2bbafe206a82570b655e
oai_identifier_str oai:scielo:S1516-31801994000400006
network_acronym_str APM-1
network_name_str São Paulo medical journal (Online)
repository_id_str
spelling Neurological complications of coronary arteriographycoronary arteriographyneurological complicationsvertebro-basilar circulationNMRIThe 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.Associação Paulista de Medicina - APM1994-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006Sao Paulo Medical Journal v.112 n.4 1994reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801994000400006info:eu-repo/semantics/openAccessMutarelli,Eduardo GenaroArie,SiguemituzoAlóe,FlávioScaff,Milbertoeng2009-07-03T00:00:00Zoai:scielo:S1516-31801994000400006Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2009-07-03T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Neurological complications of coronary arteriography
title Neurological complications of coronary arteriography
spellingShingle Neurological complications of coronary arteriography
Mutarelli,Eduardo Genaro
coronary arteriography
neurological complications
vertebro-basilar circulation
NMRI
title_short 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_sort Neurological complications of coronary arteriography
author Mutarelli,Eduardo Genaro
author_facet Mutarelli,Eduardo Genaro
Arie,Siguemituzo
Alóe,Flávio
Scaff,Milberto
author_role author
author2 Arie,Siguemituzo
Alóe,Flávio
Scaff,Milberto
author2_role author
author
author
dc.contributor.author.fl_str_mv Mutarelli,Eduardo Genaro
Arie,Siguemituzo
Alóe,Flávio
Scaff,Milberto
dc.subject.por.fl_str_mv coronary arteriography
neurological complications
vertebro-basilar circulation
NMRI
topic coronary arteriography
neurological complications
vertebro-basilar circulation
NMRI
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.
publishDate 1994
dc.date.none.fl_str_mv 1994-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000400006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31801994000400006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.112 n.4 1994
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
_version_ 1754209259173707776

Registros relacionados