Transient oculomotor paralysis after cerebral angiography: A case report

Medicine (Baltimore). 2021 Jun 4;100(22):e26242. doi: 10.1097/MD.0000000000026242.

Abstract

Rationale: A special case of transient oculomotor nerve palsy after cerebral angiography.

Patient concerns: A 55-year-old man developed oculomotor nerve dysfunction after right radial artery puncture angiography.

Diagnoses: Cerebral angiography-induced oculomotor nerve palsy.

Interventions: According to the patient's disease state, intravenous drip of dexamethasone 10 mg/d.

Outcomes: Magnetic resonance imaging (MRI) showed no abnormalities, and the patient recovered completely after 48 hours of hormone therapy.

Lessons: Transient eye palsy caused by contrast agent encephalopathy is a clinically rare neurological dysfunction caused by adverse effects of contrast agents. Early prevention and correct treatment are critical.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Aftercare
  • Cerebral Angiography / adverse effects*
  • Contrast Media / adverse effects
  • Dexamethasone / administration & dosage
  • Dexamethasone / therapeutic use
  • Encephalitis / chemically induced
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / therapeutic use
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Oculomotor Nerve Diseases / etiology*
  • Oculomotor Nerve Diseases / physiopathology
  • Ophthalmoplegia / diagnosis
  • Ophthalmoplegia / drug therapy
  • Ophthalmoplegia / etiology*
  • Radial Artery / surgery
  • Treatment Outcome

Substances

  • Contrast Media
  • Glucocorticoids
  • Dexamethasone