Cerebral Lipiodol Embolism after Lymphatic Embolization for Plastic Bronchitis

J Pediatr. 2016 Sep:176:200-3. doi: 10.1016/j.jpeds.2016.05.036. Epub 2016 Jun 11.

Abstract

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.

Keywords: cerebral embolism; childhood stroke; congenital heart disease; lipiodol; plastic bronchitis.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Bronchitis / therapy*
  • Contrast Media / adverse effects*
  • Embolization, Therapeutic / methods*
  • Ethiodized Oil / adverse effects*
  • Humans
  • Intracranial Embolism / chemically induced*
  • Lymphatic Vessels*
  • Male

Substances

  • Contrast Media
  • Ethiodized Oil