| Neurologic and radiologic manifestations of three girls surviving acute carbon monoxide poisoning. | |
| | |
MedLine Citation:
|
PMID: 16970876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report the neurologic and radiologic manifestations of three adolescent girls with acute carbon monoxide poisoning. The girls were found collapsed and unconscious in a bathroom where liquid petroleum gas was being used as heating fuel. As hyperbaric oxygen therapy was not available locally, they only received oxygen supplementation via nasal cannula (4 L/minute) as treatment in the first 2 days. On transfer to a tertiary center in Hong Kong, evolving neurologic manifestations of visual acuity and field deficits, confusion, and focal motor weaknesses were observed. Focal infarctions were evident in cerebral computed tomography in one patient and cortical lesions on magnetic resonance imaging in all three patients. [18F]Fluorodeoxyglucose (FDG) positron emission tomography (PET) revealed additional decreased metabolism in the basal ganglia in two patients, which was typical of carbon monoxide poisoning. The neurologic deficits resolved completely at 3 weeks after the exposure, but psychologic symptoms succeeded. This report serves to alert clinicians to the varied neuro-ophthalmologic manifestations and psychologic impairment even with the same duration of carbon monoxide poisoning. PET might be more sensitive in detecting cerebral injuries specific for carbon monoxide poisoning. |
| | |
Authors:
|
Kam-lun Ellis Hon; Wai-lan Yeung; Chi-hang Assunta Ho; Wing-kwan Alex Leung; Albert Martin Li; Winnie Chiu-wing Chu; Yu-leung Chan |
Related Documents
:
|
2823356 - Late neuropathological consequences of strangulation. 2927646 - Familial idiopathic striopallidodentate calcifications. 1881246 - Globus pallidus alterations and brain atrophy in liver cirrhosis patients with encephal... 16498216 - Hypertensive brainstem encephalopathy without parieto-occipital lesion--two case reports. 2164236 - Hepatoblastoma: detection of tumor vascularity with duplex doppler us. 21540716 - Clinical value of combined single photon emission computerized tomography and conventio... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of child neurology Volume: 21 ISSN: 0883-0738 ISO Abbreviation: J. Child Neurol. Publication Date: 2006 Sep |
Date Detail:
|
Created Date: 2006-09-14 Completed Date: 2006-12-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8606714 Medline TA: J Child Neurol Country: Canada |
Other Details:
|
Languages: eng Pagination: 737-41 Citation Subset: IM |
Affiliation:
|
Department of Pediatrics, Chinese University of Hong Kong, 6/F Clinical Sciences Building, Prince of Wales Hospital, Shatin, Hong Kong. ehon@cuhk.edu.hk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adolescent Basal Ganglia / metabolism*, pathology Carbon Monoxide Poisoning / complications*, radiography, radionuclide imaging, therapy Cerebral Cortex / metabolism, pathology, radiography, radionuclide imaging Cerebral Infarction / etiology*, radiography, radionuclide imaging Child Confusion / etiology*, physiopathology Female Humans Oxygen Inhalation Therapy Positron-Emission Tomography Survivors Time Factors Tomography, X-Ray Computed Treatment Outcome Vision Disorders / etiology*, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Autoimmune neuropsychiatric disorders associated with streptococcal infection: Sydenham chorea, PAND...
Next Document: Magnetic resonance imaging (MRI) findings in children surviving extremely premature delivery and ext...