Local blood-brain barrier penetration following systemic contrast medium administration. A case report and an experimental study.

作者: R. Utz , S. E. Ekholm , L. Isaac , M. Sands , D. Fonte

DOI: 10.1177/028418518802900220

关键词: NeurotoxicityDiatrizoate MeglumineBlood brain barrier penetrationMedicinePenetration (firestop)SurgerySevere complicationBlood–brain barrierContrast mediumAnesthesiaCortical blindness

摘要: The present study was initiated by a severe complication in patient with renal dysfunction who developed cortical blindness and weakness of her left extremities 30 hours following abdominal angiography. To evaluate the impact prolonged high serum concentrations contrast medium (CM) this clinical situation simulated laboratory model using sheep elevated levels maintained for 48 hours. experimental data did not support theory that exposure to circulating (4 ml/kg body weight meglumine diatrizoate 60%) is sufficient alone cause penetration blood-brain barrier.

参考文章(30)
William E. Studdard, David O. Davis, Stephen W. Young, Cortical blindness after cerebral angiography. Case report. Journal of Neurosurgery. ,vol. 54, pp. 240- 244 ,(1981) , 10.3171/JNS.1981.54.2.0240
J Wilcox, M R Sage, C A Evill, Effect of intravenous contrast material on the integrity of the blood-brain barrier: experimental study. American Journal of Neuroradiology. ,vol. 5, pp. 41- 43 ,(1984)
L. Anne Hayman, Robert A. Evans, Vincent C. Hinck, Rapid-high-dose contrast computed tomography of isodense subdural hematoma and cerebral swelling. Radiology. ,vol. 131, pp. 381- 383 ,(1979) , 10.1148/131.2.381
MICHAEL R. SAGE, JOHN WILCOX, CHARLES A. EVILL, GEOFFREY T. BENNESS, Comparison and evaluation of osmotic blood-brain barrier disruption following intracarotid mannitol and methylglucamine iothalamate. Investigative Radiology. ,vol. 17, pp. 276- 280 ,(1982) , 10.1097/00004424-198201730-00014
Larry Junck, William H. Marshall, Neurotoxicity of radiological contrast agents Annals of Neurology. ,vol. 13, pp. 469- 484 ,(1983) , 10.1002/ANA.410130502
Katsumi Hayakawa, T. M. Morris, R. W. Katzberg, Opening of the blood-brain barrier by intravenous contrast media in euvolemic and dehydrated rabbits. Acta Radiologica. ,vol. 30, pp. 439- 444 ,(1989) , 10.3109/02841858909174713
Albert A. Moss, Leon Kaufman, James A. Nelson, Fluorescent excitation analysis: a simplified method of iodine determination in vitro. Investigative Radiology. ,vol. 7, pp. 335- 338 ,(1972) , 10.1097/00004424-197207000-00017