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KMID : 1201420140070020119
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Journal of Neurocritical Care
2014 Volume.7 No. 2 p.119 ~ p.121
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Effect of the Lesions in the Globus Pallidus on Cognitive Impairment after Carbon Monoxide Poisoning
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Lee Do-Kyung
Ahn Tae-Beom
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Abstract
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Background: Clinical manifestation of carbon monoxide (CO) poisoning depends on the concentration of CO and duration of exposure. Neurologic presentation is closely related to lesions in the brain.
Case Report: A married couple suffered from CO exposure from a car engine that was used as a heater during an overnight stay in a cabin. Two weeks later, the wife developed cognitive problems. Neurologic examination was indicative of Gerstmann syndrome. However, her husband was normal. Their brain MRI showed a similar degree of diffuse white matter change. The brain MRI of the wife showed additional lesions in the globus pallidum (GP).
Conclusion: The duration and amount of CO exposure experienced by the couple was the same, hence the GP lesion had a possible role in the clinical manifestations.
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KEYWORD
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Carbon monoxide, Globus pallidus, White matter
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