A case report: Intense but clinically transient carbon monoxide intoxication with characteristic computerised brain tomography images
Abstract
A 53 years old female patient administered to our emergency department with loss of consciousness. She had a history of falling down from a height a couple of hours before our hospital entrance. Her relatives explained that there is a possibility for her cleaning up her chimney of the house. She was found unconsciousness. By our clinical algorithm, we performed carnial computerised tomography (CT) to clearify patients neurologic status in 4 different stages of our clinical follow-up. We observed parancymal oedema and intracarnial hemorrhage. Localization and characteristics of this oedema was reported to be specific to carbon monoxide (CO) intoxication. By the end of the second week, patient presented a clinical and neurological improvement. As a conclusion, we state that a suspicion of CO intoxicity with a detailed evaluation is life saving. Cardiac monitoring, intubation and 100% oxygen applications, elaborate physical and radiological evaluations are mandatory. Serial CT scan of the brain can also present specific and enlightening findings in CO intoxicity cases.
Keywords
Supporting Institution
yok
Project Number
yok
Thanks
yok
References
- 1. Carbon monoxide related deaths United States, 1999-2004. MMWR Morb Mortal Wkly Rep. 2007; 56(50): 1309-12.
- 2. Mefkur B, Umutoglu T, Topuz U, et al. Opioid-free total intravenous anesthesia with propofol, dexmedetomidine and lidocaine infusions for laparoscopic cholecystectomy: a prospective, randomized, double-blinded study. Brazilian Journal of Anesthesiology. 2015;3:191-9. https://doi.org/10.1016/j.bjane.2014.05.001
- 3. Bourtros AR, Hoyt JL. Management of carbon monoxide poisoning in the absence of hyperbaric oxygenation chamber. Crit Care Med.1976; 4(3): 144-7. https://doi.org/10.1097/00003246-197605000-00003
- 4. Gorman D, Drewry A, Huang YL, Sames C. The clinical toxicology of carbon monoxide. Toxicology. 2003;187(1):25-38. https://doi.org/10.1016/S0300-483X(03)00005-2
- 5. Ilano AL, Raffin TA. Management of carbon monoxide poisoning. Chest. 1990;97(1):165-9. https://doi.org/10.1378/chest.97.1.165
- 6. Raub JA, Benignus VA. Carbon monoxide and the nervous system. Neurosci Biobehav Rev. Dec 2002; 26(8): 925-40. https://doi.org/10.1016/S0149-7634(03)00002-2
- 7. Topuz U, Salihoglu G, Banu U, et al. The Effects of Different Oxygen Concentrations on Recruitment Maneuver During General Anesthesia for Laparoscopic Surgery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques: October 2014;5:410–3. https://doi.org/10.1097/SLE.0000000000000048
- 8. Vieregge P, Klostermann W, Blümm RG, Borgis KJ. Carbon monoxide poisoning: clinical, neurophysiological, and brain imaging observations in acute disease and follow-up. J Neurol. 1989;236(8):478-81. https://doi.org/10.1007/BF00328511
- 9. Salihoglu Z, Yildirim D, Sener KG, et al. Evaluation of Intravenous Paracetamol Administration on Postoperative Pain and Recovery Characteristics in Patients Undergoing Laparoscopic Cholecystectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques:2009;19(4):321-3. https://doi.org/10.1097/SLE.0b013e3181b13933
- 10. Silver DAT, Cross M, Fox B, et al. Computed tomography of the brain in acute carbon monoxide poisoning. Clinical Radiology. 1996;7:480-3. https://doi.org/10.1016/S0009-9260(96)80186-3
A case report: Intense but clinically transient carbon monoxide intoxication with characteristic computerised brain tomography images
Abstract
A 53 years old female patient administered to our emergency department with loss of consciousness. She had a history of falling down from a height a couple of hours before our hospital entrance. Her relatives explained that there is a possibility for her cleaning up her chimney of the house. She was found unconsciousness. By our clinical algorithm, we performed carnial computerised tomography (CT) to clearify patients neurologic status in 4 different stages of our clinical follow-up. We observed parancymal oedema and intracarnial hemorrhage. Localization and characteristics of this oedema was reported to be specific to carbon monoxide (CO) intoxication. By the end of the second week, patient presented a clinical and neurological improvement. As a conclusion, we state that a suspicion of CO intoxicity with a detailed evaluation is life saving. Cardiac monitoring, intubation and 100% oxygen applications, elaborate physical and radiological evaluations are mandatory. Serial CT scan of the brain can also present specific and enlightening findings in CO intoxicity cases.
Keywords
Project Number
yok
References
- 1. Carbon monoxide related deaths United States, 1999-2004. MMWR Morb Mortal Wkly Rep. 2007; 56(50): 1309-12.
- 2. Mefkur B, Umutoglu T, Topuz U, et al. Opioid-free total intravenous anesthesia with propofol, dexmedetomidine and lidocaine infusions for laparoscopic cholecystectomy: a prospective, randomized, double-blinded study. Brazilian Journal of Anesthesiology. 2015;3:191-9. https://doi.org/10.1016/j.bjane.2014.05.001
- 3. Bourtros AR, Hoyt JL. Management of carbon monoxide poisoning in the absence of hyperbaric oxygenation chamber. Crit Care Med.1976; 4(3): 144-7. https://doi.org/10.1097/00003246-197605000-00003
- 4. Gorman D, Drewry A, Huang YL, Sames C. The clinical toxicology of carbon monoxide. Toxicology. 2003;187(1):25-38. https://doi.org/10.1016/S0300-483X(03)00005-2
- 5. Ilano AL, Raffin TA. Management of carbon monoxide poisoning. Chest. 1990;97(1):165-9. https://doi.org/10.1378/chest.97.1.165
- 6. Raub JA, Benignus VA. Carbon monoxide and the nervous system. Neurosci Biobehav Rev. Dec 2002; 26(8): 925-40. https://doi.org/10.1016/S0149-7634(03)00002-2
- 7. Topuz U, Salihoglu G, Banu U, et al. The Effects of Different Oxygen Concentrations on Recruitment Maneuver During General Anesthesia for Laparoscopic Surgery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques: October 2014;5:410–3. https://doi.org/10.1097/SLE.0000000000000048
- 8. Vieregge P, Klostermann W, Blümm RG, Borgis KJ. Carbon monoxide poisoning: clinical, neurophysiological, and brain imaging observations in acute disease and follow-up. J Neurol. 1989;236(8):478-81. https://doi.org/10.1007/BF00328511
- 9. Salihoglu Z, Yildirim D, Sener KG, et al. Evaluation of Intravenous Paracetamol Administration on Postoperative Pain and Recovery Characteristics in Patients Undergoing Laparoscopic Cholecystectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques:2009;19(4):321-3. https://doi.org/10.1097/SLE.0b013e3181b13933
- 10. Silver DAT, Cross M, Fox B, et al. Computed tomography of the brain in acute carbon monoxide poisoning. Clinical Radiology. 1996;7:480-3. https://doi.org/10.1016/S0009-9260(96)80186-3
Details
| Primary Language | English |
|---|---|
| Subjects | Anaesthesiology |
| Journal Section | Case Reports |
| Authors | |
| Project Number | yok |
| Publication Date | April 30, 2020 |
| Acceptance Date | December 26, 2019 |
| Published in Issue | Year 2020 Volume: 3 Issue: 1 |
