Radiology Case Reports (Jun 2024)

Transient cortical weakness following cerebral angiography: A new syndrome

  • Akash P. Kansagra, MD, MS,
  • Richard Pham, BA,
  • Arindam R. Chatterjee, MD,
  • Christopher J. Moran, MD

Journal volume & issue
Vol. 19, no. 6
pp. 2306 – 2309

Abstract

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Transient cortical blindness is a known complication of iodinated contrast administration and is believed to reflect osmotic injury or autoregulatory dysfunction of the posterior circulation. Here, we report 2 cases of postangiography transient cortical weakness, a rare clinical analog to transient cortical blindness that affects the anterior circulation. The symptoms, timeline, and imaging findings of transient cortical weakness are distinct from more common post-procedural complications such as acute ischemic stroke or transient ischemic attack.

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