Carbon monoxide poisoning with an atypical presentation on MRI: Case report and literature review

被引：1

作者：

Saji, Alen Sam ^{[1
]}

Raza, Muhammad Hassan ^{[2
]}

Anjum, Abdul Sattar ^{[2
]}

Maqsood, Hamza ^{[2
]}

Yousaf, Javeriya ^{[2
]}

Saleem, Sheraz ^{[3
]}

机构：

[1] Sichuan Univ, West China Sch Med, Chengdu, Peoples R China

[2] Nishtar Med Univ & Hosp, Multan, Pakistan

[3] Sargodha Med Coll, Sargodha, Pakistan

来源：

ANNALS OF MEDICINE AND SURGERY | 2022年 / 82卷

关键词：

Carbon monoxide; Poisoning; Neurology; MRI; Altered mentation; WHITE-MATTER DAMAGE; BRAIN;

D O I：

10.1016/j.amsu.2022.104655

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Acute carbon monoxide poisoning can present with altered mentation, loss of consciousness, and other symptoms. Accurate diagnosis is based on a detailed history, clinical examination, and laboratory evidence. MRI is also crucial in detecting hypoxic-ischemic encephalopathy due to CO poisoning and has established su-periority over CT scans. We report an atypical MR imaging pattern seen in a patient post-CO exposure.Case presentation: We report a case of a 35-year-old South Asian man who presented to the emergency department with loss of consciousness for an undetermined time. GCS on arrival was 4/15. Detailed history, physical ex-amination, and radiological investigations confirmed the diagnosis of carbon monoxide poisoning. He was treated with 100% oxygen.Conclusion: MRI should be included as a diagnostic workup for suspected CO poisoning patients to evaluate hypoxic-ischemic encephalopathy. This will not only aid in the correct diagnosis but will also help in guiding the correct management of the patients.

引用

页数：4

共 14 条

[1] The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines [J].

Agha, Riaz A. ;

Franchi, Thomas ;

Sohrabi, Catrin ;

Mathew, Ginimol ;

Kerwan, Ahmed ;

Thoma, Achilles ;

Beamish, Andrew J. ;

Noureldin, Ashraf ;

Rao, Ashwini ;

Vasudevan, Baskaran ;

Challacombe, Ben ;

Perakath, Benjamin ;

Kirshtein, Boris ;

Ekser, Burcin ;

Pramesh, C. S. ;

Laskin, Daniel M. ;

Machado-Aranda, David ;

Miguel, Diana ;

Pagano, Duilio ;

Millham, Frederick H. ;

Roy, Gaurav ;

Kadioglu, Huseyin ;

Nixon, Iain J. ;

Mukhejree, Indraneil ;

McCaul, James A. ;

Ngu, James Chi-Yong ;

Albrecht, Joerg ;

Gomez Rivas, Juan ;

Raveendran, Kandiah ;

Derbyshire, Laura ;

Ather, M. Hammad ;

Thorat, Mangesh A. ;

Valmasoni, Michele ;

Bashashati, Mohammad ;

Chalkoo, Mushtaq ;

Teo, Nan Zun ;

Raison, Nicholas ;

Muensterer, Oliver J. ;

Bradley, Patrick James ;

Goel, Prabudh ;

Pai, Prathamesh S. ;

Afifi, Raafat Yahia ;

Rosin, Richard David ;

Coppola, Roberto ;

Klappenbach, Roberto ;

Wynn, Rolf ;

De Wilde, Rudy Leon ;

Surani, Salim ;

Giordano, Salvatore ;

Massarut, Samuele .

INTERNATIONAL JOURNAL OF SURGERY, 2020, 84 :226-230

[2]

Centers for Disease Control and Prevention, 2021, CARB MON POIS 2019 C

[3]

Fan Hueng-Chuen, 2009, Am J Emerg Med, V27, DOI 10.1016/j.ajem.2008.10.021

[4] Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) Syndrome [J].

Jasne, Adam S. ;

Alsherbini, Khalid H. ;

Smith, Matthew S. ;

Pandhi, Abhi ;

Vagal, Achala ;

Kanter, Daniel .

NEUROCRITICAL CARE, 2019, 31 (02) :288-296

[5] THE UTILITY OF MRI IN ACUTE STAGE OF CARBON-MONOXIDE POISONING [J].

KANAYA, N ;

IMAIZUMI, H ;

NAKAYAMA, M ;

NAGAI, H ;

YAMAYA, K ;

NAMIKI, A .

INTENSIVE CARE MEDICINE, 1992, 18 (06) :371-372

[6] White Matter Damage in Carbon Monoxide Intoxication Assessed in Vivo Using Diffusion Tensor MR Imaging [J].

Lin, W. -C. ;

Lu, C. -H. ;

Lee, Y. -C. ;

Wang, H. -C. ;

Lui, C. -C. ;

Cheng, Y. -F. ;

Chang, H. -W. ;

Shih, Y. -T. ;

Lin, C. -P. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2009, 30 (06) :1248-1255

[7]

Mascalchi M, 1996, NEURORADIOLOGY, V38, pS73

[8] IS CARBON-MONOXIDE A WORKPLACE TERATOGEN - A REVIEW AND EVALUATION OF THE LITERATURE [J].

NORMAN, CA ;

HALTON, DM .

ANNALS OF OCCUPATIONAL HYGIENE, 1990, 34 (04) :335-347

[9] The magnetic resonance imaging appearances of the brain in acute carbon monoxide poisoning [J].

O'Donnell, P ;

Buxton, PJ ;

Pitkin, A ;

Jarvis, LJ .

CLINICAL RADIOLOGY, 2000, 55 (04) :273-280

[10] Carboxyhemoglobin Levels Induced by Cigarette Smoking Outdoors in Smokers [J].

Schimmel, Jonathan ;

George, Naomi ;

Schwarz, John ;

Yousif, Sami ;

Suner, Selim ;

Hack, Jason B. .

JOURNAL OF MEDICAL TOXICOLOGY, 2018, 14 (01) :68-73

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