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Cortical Blindness Due to Osmotic Disruption of the Blood-Brain Barrier by Angiographic Contrast Material:CT and MRI Studies
Neurol 39:567-571, Lantos,G., 1989
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Article Abstract
Numerous experimental studies have demonstrated disruption of the blood- brain barrier by the hyperosmolar,iodinated contrast agents in common use for intravascular injection during radiologic studies.We report 4 cases in which cortical blindness occurred after cerebral angiography.The patients underwent x-ray CT within 1 hour.CT showed abnormal contrast enhancement in the occipital regions in all 4 instances.Two patients underwent MRI;1 of these manifested abnormal high-signal intensity in the occipital lobes on T2-weighted images.Only 2 previous cases documenting immediate contrast enhancement within the brain substance on CT following angiography are in the literature.
 
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angiography,cerebral
angiography,neurologic complications with
blood brain barrier
CAT scan
CAT scan,abnormal
CAT scan,contrast enhanced
contrast agents,neurotoxicity of
cortical blindness
iatrogenic neurologic disorders
MRI
MRI,abnormal

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