[Fatty cerebral embolism after lymphography].
A 25 year-old man with Hodgkin's disease, presented a confusional state with choreatic movements, 1 hour after a lymphography. CT showed high density in the heads of both caudate nuclei, and in the cortex. The patient's state improved and he entirely recovered within 2 weeks, while CT returned to normal. No right-to-left shunt was demonstrated. The mechanisms of this infrequent complication of lymphography are discussed: exceeding filtration capacity of lung because of a too rapid administration of contrast or severe lung embolism? intracardiac right-to-left shunts? microscopic arteriovenous shunts in the lung? bad venous cerebral drainage consecutive to a vena cava superior syndrome?
de Munck
B
B
Service de Radiologie, Heilig Hart Ziekenhuis, Roeselaere, Belgique.
Bourgeois
P
P
Vanderperre
H
H
Vermeulen
J
J
Clarysse
H J
HJ
Demeester
J
J
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D004569:Electroencephalography; D006689:Hodgkin Disease / Q000000981:diagnostic imaging; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D008220:Lymphography / Q000009:adverse effects*; D008297:Male; D014057:Tomography, X-Ray Computed
Embolie cérébrale graisseuse après lymphographie.