Contrast-Induced Encephalopathy following Cerebral Angiography in a Hemodialysis Patient

Abstract EN

Contrast-induced encephalopathy (CIE) is a rare complication of contrast media use during angiographic procedures.

With the growing use of endovascular interventions, this complication is likely to become more common.

We present a case of a 46-year-old woman with hypertension, hypothyroidism, and chronic renal failure.

She developed CIE following cerebral angiography for diagnosis of intracranial aneurysm.

We had a high index of suspicion for CIE, excluded the most common differential such as stroke, and immediately started hemodialysis with a short course of corticosteroids.

The disease runs a benign course, and neurological symptoms resolved completely after five days.

We emphasize the need for increased awareness of CIE to make a valid diagnosis and to start supportive therapy as soon as possible.