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Tytuł:
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Right Hemiplegia Following Acute Carbon Monoxide Poisoning.
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Autorzy:
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Aoshima K; Department of Internal Medicine, Okayama Rōsai Hospital, Okayama, JPN.; Center for Graduate Medical Education, Okayama University Hospital, Okayama, JPN.
Yamaoka H; Department of Cardiology, Okayama Rōsai Hospital, Okayama, JPN.
Nakamura S; Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.
Nojima T; Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.
Naito H; Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.
Nakao A; Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.
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Źródło:
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Cureus [Cureus] 2021 Jul 29; Vol. 13 (7), pp. e16738. Date of Electronic Publication: 2021 Jul 29 (Print Publication: 2021).
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Typ publikacji:
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Case Reports
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Język:
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English
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Imprint Name(s):
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Original Publication: Palo Alto, CA : Cureus, Inc.
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References:
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Radiology. 1992 Jul;184(1):117-22. (PMID: 1609067)
AJNR Am J Neuroradiol. 2014 Apr;35(4):625-31. (PMID: 23598831)
Eur J Intern Med. 2016 Apr;29:65-70. (PMID: 26703428)
Pharmacol Toxicol. 2003 Sep;93(3):142-6. (PMID: 12969439)
Age Ageing. 2004 Mar;33(2):105-9. (PMID: 14960423)
Emerg Med Clin North Am. 2004 Nov;22(4):985-1018. (PMID: 15474779)
Clin Imaging. 2020 Aug;64:92-96. (PMID: 32388003)
AJR Am J Roentgenol. 2009 Sep;193(3):879-86. (PMID: 19696305)
Undersea Hyperb Med. 2018 Jan-Feb;45(1):95-100. (PMID: 29571238)
Med Hypotheses. 2014 Aug;83(2):186-9. (PMID: 24857260)
J Toxicol Clin Toxicol. 1994;32(6):613-29. (PMID: 7966524)
AJNR Am J Neuroradiol. 2005 Aug;26(7):1845-8. (PMID: 16091540)
Zhongguo Zhen Jiu. 2019 Jul 12;39(7):697-702. (PMID: 31286729)
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Contributed Indexing:
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Keywords: carbon monoxide; carbon monoxide poisoning; globus pallidus lesions; hemiplegia; neurologic manifestation; stroke; tia
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Entry Date(s):
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Date Created: 20210913 Latest Revision: 20210914
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Update Code:
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20240105
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PubMed Central ID:
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PMC8405353
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DOI:
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10.7759/cureus.16738
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PMID:
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34513366
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Acute carbon monoxide (CO) poisoning remains a common cause of poison-related death and influences neurological function. An 83-year-old female was transferred to our emergency unit due to hypertension with dizziness, headache, and right hemiplegia. There was no radiographic evidence of ischemic stroke. The family members reported that the patient may have been exposed to CO by briquettes burned inside a closed room. High flow oxygen therapy was given for suspected CO intoxication and her symptoms quickly improved. Although we do not have clear evidence, we presume that hemiplegia in our patient was caused by CO intoxication, based on rapid recovery with oxygen therapy, carboxyhemoglobin (COHb) level elevation (3.0%), polycythemia, and neuroimaging. Despite the hematogenous effects of CO, paralysis appeared to be more severe on her right side than on her left side. MRI and blood tests helped to support CO as the suspected cause of her hemiplegia. This case reconfirms the importance of medical interviewing by medical practitioners, even in an emergency setting.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Aoshima et al.)
