Cerebral Lipiodol Embolism after Lymphatic Embolization for Plastic Bronchitis.
An adolescent with plastic bronchitis due to congenital heart disease had altered mental status after an interventional lymphatic procedure in which lipiodol contrast was used. Neuroimaging revealed cerebral lipiodol embolization due to direct shunting between lymphatic channels and pulmonary veins. Cerebral lipiodol embolization is a potential neurologic morbidity associated with interventional lymphatic procedures.
Department of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Electronic address: kirschenm@chop.edu.
Matthew P
MP
Kirschen
Department of Cardiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Yoav
Y
Dori
Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Maxim
M
Itkin
Department of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Daniel J
DJ
Licht
Department of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Rebecca
R
Ichord
Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Arastoo
A
Vossough
D000293:Adolescent; D001991:Bronchitis / Q000628:therapy*; D003287:Contrast Media / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods*; D004998:Ethiodized Oil / Q000009:adverse effects*; D006801:Humans; D020766:Intracranial Embolism / Q000139:chemically induced*; D042601:Lymphatic Vessels; D008297:Male
D003287:Contrast Media; D004998:Ethiodized Oil
cerebral embolism; childhood stroke; congenital heart disease; lipiodol; plastic bronchitis