RT Journal Article
SR Electronic
T1 Cortical Blindness after Contrast-Enhanced CT: Complication in a Patient with Diabetes Insipidus
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1114
OP 1116
VO 24
IS 6
A1 Mentzel, Hans-Joachim
A1 Blume, Jörg
A1 Malich, Ansgar
A1 Fitzek, Clemens
A1 Reichenbach, Jürgen R.
A1 Kaiser, Werner A.
YR 2003
UL http://www.ajnr.org/content/24/6/1114.abstract
AB Summary: Transient cortical blindness is an uncommon but well-known complication following cerebral angiography. One possible cause of this complication is an adverse reaction to contrast agent, resulting in an osmotic disruption of the blood-brain barrier that seems to be selective for the occipital cortex. We report the case of a 16-year-old male patient with cortical blindness after intravenous application of nonionic contrast agent during CT angiography performed because of seizure that was attributed to thrombosis of the basilar artery on the basis of clinical findings. To our knowledge, the development of cortical blindness after CT angiography has not been described in the literature. The patient’s symptoms were triggered by hyponatriemia and diabetes insipidus.