{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:48:50Z","timestamp":1740181730880,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Contrast-induced encephalopathy (CIE) is a rare complication of coronary angiography posing a significant diagnostic challenge. Its incidence has substantially declined with the introduction of nonionic low-osmolar contrast media and, in most cases, it manifests with transient cortical blindness. Concomitant visual and auditory hallucinations in the course of CIE have never been reported.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case report<\/jats:title>\n                <jats:p>We present the first reported case of CIE with concomitant visual and auditory hallucinations following coronary angiography in an 80-year-old female patient. The procedure was elective and performed via right radial approach. During the procedure, significant difficulties in crossing a tortuous and calcified brachiocephalic trunk were encountered. The patient lost awareness of time and place, became agitated and started having aphasia. Periprocedural stroke was suspected as a consequence of atherosclerotic plaque mobilization and dislodging atheromatous material to the cerebral vasculature. The patient became fully oriented without aphasia within 24\u00a0h, but started having auditory and visual hallucinations. Stroke was excluded by an urgent MRI, and ultimately CIE was diagnosed. A supportive therapy with sedation and intravenous hydration was used with subsequent commencement of quetiapine treatment for hallucinations. The symptoms resolved after 5\u00a0days, and quetiapine was successfully discontinued.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Based on the unique case report, CIE may manifest with concomitant visual and auditory hallucinations. In some instances, the clinical entity may mimic stroke; therefore, it is crucial to rule out this acute neurological condition and prevent patients from receiving a potentially harmful treatment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00589-w","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T15:23:06Z","timestamp":1733152986000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Contrast-induced encephalopathy with visual and auditory hallucinations triggered by coronary angiography with iodixanol: a case report"],"prefix":"10.1186","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0453-642X","authenticated-orcid":false,"given":"Micha\u0142","family":"Kuzemczak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u0142awomir","family":"Go\u0142\u0119biewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"key":"589_CR1","doi-asserted-by":"publisher","first-page":"2277","DOI":"10.2147\/CIA.S280931","volume":"15","author":"MR Liu","year":"2020","unstructured":"Liu MR, Jiang H, Li XL, Yang P (2020) Case report and literature review on low-osmolar, non-ionic iodine-based contrast-induced encephalopathy. Clin Interv Aging 15:2277\u20132289. https:\/\/doi.org\/10.2147\/CIA.S280931","journal-title":"Clin Interv Aging"},{"key":"589_CR2","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1002\/ccd.26871","volume":"90","author":"R Spina","year":"2017","unstructured":"Spina R, Simon N, Markus R, Muller DW, Kathir K (2017) Contrast-induced encephalopathy following cardiac catheterization. Catheter Cardiovasc Interv 90:257\u2013268. https:\/\/doi.org\/10.1002\/ccd.26871","journal-title":"Catheter Cardiovasc Interv"},{"key":"589_CR3","doi-asserted-by":"publisher","first-page":"e2491","DOI":"10.1212\/WNL.0000000000009590","volume":"94","author":"Y Harada","year":"2020","unstructured":"Harada Y, Kairamkonda SR, Ilyas U, Pothineni NVK, Samant RS, Shah VA, Kapoor N, Onteddu S, Nalleballe K (2020) Pearls & Oy-sters: contrast-induced encephalopathy following coronary angiography: a rare stroke mimic. Neurology 94:e2491\u2013e2494. https:\/\/doi.org\/10.1212\/WNL.0000000000009590","journal-title":"Neurology"},{"key":"589_CR4","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.2459\/JCM.0b013e3282fe1718","volume":"10","author":"C Borghi","year":"2008","unstructured":"Borghi C, Saia F, Marzocchi A, Branzi A (2008) The conundrum of transient cortical blindness following coronary angiography. J Cardiovasc Med (Hagerstown) 10:1063\u20131065. https:\/\/doi.org\/10.2459\/JCM.0b013e3282fe1718","journal-title":"J Cardiovasc Med (Hagerstown)"},{"key":"589_CR5","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1093\/eurheartj\/ehi148","volume":"13","author":"C Lund","year":"2005","unstructured":"Lund C, Nes RB, Ugelstad TP, Due-T\u00f8nnessen P, Andersen R, Hol PK, Brucher R, Russell D (2005) Cerebral emboli during left heart catheterization may cause acute brain injury. Eur Heart J 13:1269\u20131275. https:\/\/doi.org\/10.1093\/eurheartj\/ehi148","journal-title":"Eur Heart J"},{"key":"589_CR6","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000024035","volume":"2","author":"LD Yao","year":"2021","unstructured":"Yao LD, Zhu XL, Yang RL, Zhang MM (2021) Cardiorespiratory arrest after iso-osmolar iodinated contrast injection: a case report of contrast-induced encephalopathy following contrast-enhanced computed-tomography. Medicine (Baltimore) 2:e24035. https:\/\/doi.org\/10.1097\/MD.0000000000024035","journal-title":"Medicine (Baltimore)"},{"key":"589_CR7","doi-asserted-by":"publisher","first-page":"yty132","DOI":"10.1093\/ehjcr\/yty132","volume":"4","author":"JC Heemelaar","year":"2018","unstructured":"Heemelaar JC, van der Hoeven NW, Muller FF, Appelman Y (2018) Acute-onset coma after iso-osmolar iodinated contrast injection: a case report of contrast-induced encephalopathy after elective coronary angiography. Eur Heart J Case Rep 4:yty132. https:\/\/doi.org\/10.1093\/ehjcr\/yty132","journal-title":"Eur Heart J Case Rep"},{"key":"589_CR8","first-page":"226","volume":"2","author":"A Iliopoulou","year":"1999","unstructured":"Iliopoulou A, Giannakopoulos G, Goutou P, Pagou H, Stamatelopoulos S (1999) Visual hallucinations due to radiocontrast media. Report of two cases and review of the literature. Br J Clin Pharmacol 2:226\u2013227","journal-title":"Br J Clin Pharmacol"},{"key":"589_CR9","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1002\/ccd.1810280211","volume":"2","author":"BN Rama","year":"1993","unstructured":"Rama BN, Pagano TV, DelCore M, Knobel KR, Lee J (1993) Cortical blindness after cardiac catheterization: effect of rechallenge with dye. Cathet Cardiovasc Diagn 2:149\u2013151. https:\/\/doi.org\/10.1002\/ccd.1810280211","journal-title":"Cathet Cardiovasc Diagn"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00589-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-024-00589-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00589-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T16:04:08Z","timestamp":1733155448000},"score":1,"resource":{"primary":{"URL":"https:\/\/tehj.springeropen.com\/articles\/10.1186\/s43044-024-00589-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,2]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["589"],"URL":"https:\/\/doi.org\/10.1186\/s43044-024-00589-w","relation":{},"ISSN":["2090-911X"],"issn-type":[{"type":"electronic","value":"2090-911X"}],"subject":[],"published":{"date-parts":[[2024,12,2]]},"assertion":[{"value":"15 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 December 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures were conducted in accordance with the local ethics committee and with the Declaration of Helsinki. Informed written consent was obtained from the patient for being included in the case report. No patient identity particulars have been disclosed.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed written consent was obtained from the patient for using the clinical data without patient particulars for publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare there is no competing interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"155"}}