Delayed Neurological Sequelae Following Carbon Monoxide Poisoning and Skin Graft: A Case Report

Hospital Practices and Research

Reza Bidaki¹  Azadeh Rahavi¹  Farzaneh Dehghani¹  Maryam Khorasani²  Mohamad Ebrahim Ghanei³  Najmeh Zaer-Alhosseini⁴ 

[1] Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;Department of Psychology, University of Shihid Chamran, Ahvaz, Iran;Department of Radiology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;Science and Research Branch, Islamic Azad University, Yazd, Iran;

关键词: carbon monoxide poisoning;    neurological syndrome;    cognitive impairment;   

DOI  :  10.34172/hpr.2020.30

来源: DOAJ

【 摘 要 】

Introduction: Carbon monoxide (CO) poisoning is a prevalent lethal condition. The clinical feature of this type of poisoning varies from headache and nausea to more severe conditions. After recovery from the acute intoxication, neurological or behavioral problems may emerge. In 3%-40% of cases, delayed neuropsychiatric syndrome (DNS) in post CO poisoning, generally develops within few weeks after a preliminary remission from acute poisoning. Case Presentation: We report a patient with relatively suitable premorbid. He was admitted to the hospital with fire burning, co poisoning and discharged home with good general conditions and mental status by receiving normal baric oxygen 100%. later in post-operative management of skin graft he developed a fulminant neurological deficit by impaired memory and concentration, loosening of association, disorientation to place, time and person, agitation, aggression, mood labiality, urinary incontinency and encopresis, slow psychomotor retardation, false and approximate answers to questions, auditory and visual hallucination, staring and inappropriate laughing. As the patient was not responsive to neurological treatment, he was referred to psychiatric service. DNS in this patient resolved gradually during a short period of psychopharmacotherapy and supportive psychotherapy. Conclusion: CO poisoning may lead to neuropsychiatric sequel and neuroimaging changes which could be reversible.

【 授权许可】

Unknown