Carbon monoxide (CO) leukoencephalopathy

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Carbon monoxide (CO) leukoencephalopathy. This causes a delayed post-hypoxic leukoencephalopathy. Fully referenced neurology checklist.

Clinical features

  • This causes a delayed post-hypoxic leukoencephalopathy
  • It presents with rapidly progressive cognitive impairment
  • There are behavioral deficits
  • There may be associated akinetic mutism
  • Parkinsonism may be a feature

Magnetic resonance imaging (MRI): features

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Other neurological features

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Systemic features

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Hyperbaric oxygen treatment: indications

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References

  1. Prockop LD, Chichkova RI. Carbon monoxide intoxication: an updated review. J Neurol Sci 2007; 262:122-130.
  2. Geraldo AF, Silva C, Neutel D, Neto LL, Albuquerque L. Delayed leukoencephalopathy after acute carbon monoxide intoxication. J Radiol Case Rep 2014; 8:1-8. 
  3. Varrassi M, Di Sibio A, Gianneramo C, et al. Advanced neuroimaging of carbon monoxide poisoning. Neuroradiol J 2017; 30:461-469. 
  4. Mizuno Y, Sakurai Y, Sugimoto I, et al. Delayed leukoencephalopathy after carbon monoxide poisoning presenting as subacute dementia. Intern Med 2014; 53:1441-1445.
  5. Geraldo AF, Silva C, Neutel D, Neto LL, Albuquerque L. Delayed leukoencephalopathy after acute carbon monoxide intoxication. J Radiol Case Rep 2014; 8:1-8.
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