Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Delayed Leukoencephalopathy after Carbon Monoxide Poisoning Presenting as Subacute Dementia
Yu MizunoYasuhisa SakuraiIzumi SugimotoKeiko IchinoseShoichiro IshiharaNobuo SanjoHidehiro MizusawaToru Mannen
著者情報
ジャーナル オープンアクセス

2014 年 53 巻 13 号 p. 1441-1445

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We herein report the case of a 65-year-old woman who presented with the subacute onset of dementia and subsequently developed abnormal behavior and a gait disturbance. Her condition transiently improved; however, within one month, she became drowsy and poorly responsive, with limb chorea and urinary incontinence. Her history of frequently using charcoal led us to diagnose her with carbon monoxide (CO) poisoning. The findings of this case and a literature review suggest that subacute dementia due to CO poisoning recovers late, after a year or more, in patients above sixty years of age, and both hyperbaric oxygen and corticosteroid pulse therapy should be considered in such cases, even after one month.
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© 2014 by The Japanese Society of Internal Medicine
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