Cerebral lipiodol embolisation.
Abstract
Cerebral lipiodol embolisation is a rare but serious complication of lymphangiography. A man in his seventies had undergone lymphangiography for a refractory chyle leak following oesophagectomy. The day after lymphangiography, his conscious level dropped with bilaterally miotic pupils, increased muscle tone and double incontinence. CT scan of the head showed patchy high density throughout basal ganglia, cortex and cerebellum but no infarct, in keeping with lipiodol embolisation. He was managed initially in intensive care and subsequently underwent thoracoscopy with clipping and suturing of the left thoracic duct, and later a talc pleurodesis. At 3 months, he had some cognitive limitations and was walking with a stick.
Citations
Altmetric:
Date
2021-09-11
Type
Article
Subject
Neurology
Collections
Citation
Batcheller L, Thaller M, Wright B. Cerebral lipiodol embolisation. Pract Neurol. 2022 Feb;22(1):55-56. doi: 10.1136/practneurol-2021-002952. Epub 2021 Sep 11
Journal / Source Title
Practical Neurology
DOI
10.1136/practneurol-2021-002952
PMID
34510017
Publisher
BMJ Publishing Group
Publisher’s URL
https://pn.bmj.com/content/by/year