Management of Cerebral Herniation Secondary to Lead Encephalopathy: A Case Report.

ABSTRACT:

Background

Adult lead encephalopathy is a rare but critical condition to recognize in modern healthcare settings. Few reports have described the medical and neurosurgical management of severe adult lead encephalopathy.

Case presentation

A 22 year old woman presented with severe headache, anemia, vomiting, 40-lb weight loss, and constipation. At the time of presentation, she had extensive colonic radiopaque material and a serum lead concentration of 87 mcg/dl (normal <10). She rapidly developed anisocoria requiring emergent ventriculostomy insertion. Following CSF diversion, ICP mitigation, and lead chelation, she considerably improved in <2 weeks.

Conclusion

We report one of the few instances of successful surgical and medical management of adult lead encephalopathy.

SUBMITTER: Das S 

PROVIDER: S-EPMC9163400 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature