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Contrast-induced encephalopathy mimicking total anterior circulation stroke: a case report and review of the literature.

Martina Vigano'Vittorio ManteroPaola BasilicoChristian CordanoDavide SangalliPaolo ReganatiAlessandro LunghiAndrea RigamontiAndrea Salmaggi
Published in: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2020)
Diagnosis of contrast-induced encephalopathy requires a temporal correlation between neurological dysfunction and administration of iodinated contrast. Usually, the symptomatology is transient with a full recovery within 48-72 h. The most common symptom is cortical blindness, while other symptoms have been rarely reported. Only 20 cases previously reported global aphasia and/or hemiplegia or mimed anterior circulation strokes. Prompt brain neuroimaging is essential in order to exclude an alternative diagnosis that requires a distinct therapeutic approach.
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