ID | 62327 |
フルテキストURL | |
著者 |
Aoshima, Kenji
Center for Graduate Medical Education, Okayama University Hospital
Yamaoka, Hidenaru
Department of Cardiology, Okayama Rōsai Hospital
Nakamura, Shunsuke
Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Nojima, Tsuyoshi
Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
researchmap
Naito, Hiromichi
Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
Nakao, Atsunori
Department of Emergency, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
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抄録 | Acute carbon monoxide (CO) poisoning remains a common cause of poison-related death and influences neurological function. An 83-year-old female was transferred to our emergency unit due to hypertension with dizziness, headache, and right hemiplegia. There was no radiographic evidence of ischemic stroke. The family members reported that the patient may have been exposed to CO by briquettes burned inside a closed room. High flow oxygen therapy was given for suspected CO intoxication and her symptoms quickly improved. Although we do not have clear evidence, we presume that hemiplegia in our patient was caused by CO intoxication, based on rapid recovery with oxygen therapy, carboxyhemoglobin (COHb) level elevation (3.0%), polycythemia, and neuroimaging. Despite the hematogenous effects of CO, paralysis appeared to be more severe on her right side than on her left side. MRI and blood tests helped to support CO as the suspected cause of her hemiplegia. This case reconfirms the importance of medical interviewing by medical practitioners, even in an emergency setting.
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キーワード | carbon monoxide
carbon monoxide poisoning
hemiplegia
stroke
tia
globus pallidus lesions
neurologic manifestation
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発行日 | 2021-07-29
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出版物タイトル |
Cureus
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巻 | 13巻
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号 | 7号
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出版者 | Cureus Inc.
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開始ページ | e16738
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ISSN | 2168-8184
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © Copyright 2021 Aoshima et al.
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論文のバージョン | publisher
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DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.7759/cureus.16738
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ライセンス | https://creativecommons.org/licenses/by/4.0/
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