Karbon Moniksit Zehirlenmesinde Serebrovasküler Değişiklikler ve EEG Bulguları: Olgu Sunumu

Öz

Karbonmonoksit (CO) zehirlenmesi, zehirlenmeye bağlı ölümlerin en sık nedenlerindendir. CO’in, hemoglobine (Hgb) bağlanarak oluşan karboksihemoglobinin dokularda hipoksiye yol açtığı bilinmektedir. CO zehirlenmesinde geç nörolojik bozukluklara ileri yaşlarda daha sık rastlanıldığı bildirilmiştir. CO zehirlenmesinde akut dönemde serebral iskemi bulguları ve beyindeki işlev bozukluğuna bağlı EEG’de yaygın yavaş dalga aktivitesi ile lateralizasyon gösteren diken dalgalar gösterilmiştir. Bu yazıda CO zehirlenmesi tanısı ile acil servise müracaat eden ve yoğun bakımda takibi yapılan 77 yaşındaki hastada ortaya çıkan nörolojik bulguların EEG ve MR ile tespitini bildirmek istedik.

Anahtar Kelimeler

• Karbon monoksit zehirlenmesi, nörolojik hasar, EEG, MRG

Cerebrovascular Changes and EEG Findings in Carbon Monoxide Intoxication: Case Report

Öz

Carbon monoxide (CO) intoxication is one of the most seen causes of death due to intoxication. CO has affinity to hemoglobin. Hemoglobin and CO complex carboxyhemoglobin (COHgb) causes hypoxia in tissue. In acute phase of CO intoxication generalized slow wave activity and lateralized pike waves could be seen on EEG. Late onset neurological deficits due to CO intoxication were seen more in elder patients. In this report we define a case of 77 years old age woman who was managed in intensive care unit due to CO intoxication with unconsciousness in which the neurological defects are shown with MRI and EEG.

Anahtar Kelimeler

• Carbon monoxide intoxication, neurologic deficit, EEG, MRI

Kaynakça

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