Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Motor and Sensory Peripheral Neuropathy in a Patient Came after Acute Carbon Monoxide Intoxication: a Case Report with Magnetic Resonance Image

  • Lee, Seungmin (Department of Radiology, Dankook University Hospital) ;
  • Kim, Sang Yoon (Department of Radiology, Dankook University Hospital) ;
  • Lee, Jee Young (Department of Radiology, Dankook University Hospital) ;
  • Choi, Min Jeong (Department of Radiology, Dankook University Hospital)
  • Received : 2016.06.07
  • Accepted : 2016.09.13
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Carbon monoxide (CO) intoxication is a leading cause of the variable neuropsychiatric impairment. Despite of widely known central nerve system complications after CO intoxication, peripheral neuropathy due to CO poisoning is rare and has been under-recognized. We report interesting case of a 29-year-old male who suffered from motor weakness and sensory abnormalities in his lower extremity following acute CO intoxication. The patient revealed direct and indirect signs of peripheral neuropathy of the left inferior gluteal and sciatic nerve on magnetic resonance imaging.

Keywords

References

  1. Choi IS. Carbon monoxide poisoning: systemic manifestations and complications. J Korean Med Sci 2001;16:253-261 https://doi.org/10.3346/jkms.2001.16.3.253
  2. Choi IS. A clinical study of peripheral neuropathy in carbon monoxide intoxication. Yonsei Med J 1982;23:174-177 https://doi.org/10.3349/ymj.1982.23.2.174
  3. Weaver LK. Clinical practice. Carbon monoxide poisoning. N Engl J Med 2009;360:1217-1225 https://doi.org/10.1056/NEJMcp0808891
  4. Zhang J, Piantadosi CA. Mitochondrial oxidative stress after carbon monoxide hypoxia in the rat brain. J Clin Invest 1992;90:1193-1199 https://doi.org/10.1172/JCI115980
  5. Rahmani M, Belaidi H, Benabdeljlil M, et al. Bilateral brachial plexus injury following acute carbon monoxide poisoning. BMC Pharmacol Toxicol 2013;14:61
  6. Jeong HJ, Kim CH, Kim MO, Jung HY. Bilateral femoral neuropathy in carbon monoxide poisoning: a case report. J Korean EMG Electrodiagn Med 2011;13:73-76
  7. Jonas D, Conrad B, Von Einsiedel HG, Bischoff C. Correlation between quantitative EMG and muscle MRI in patients with axonal neuropathy. Muscle Nerve 2000;23:1265-1269 https://doi.org/10.1002/1097-4598(200008)23:8<1265::AID-MUS17>3.0.CO;2-F
  8. Andreisek G, Crook DW, Burg D, Marincek B, Weishaupt D. Peripheral neuropathies of the median, radial, and ulnar nerves: MR imaging features. Radiographics 2006;26:1267-1287 https://doi.org/10.1148/rg.265055712
  9. Wessig C, Koltzenburg M, Reiners K, Solymosi L, Bendszus M. Muscle magnetic resonance imaging of denervation and reinnervation: correlation with electrophysiology and histology. Exp Neurol 2004;185:254-261 https://doi.org/10.1016/j.expneurol.2003.10.012