TY - JOUR T1 - Cerebral lipiodol embolisation JF - Practical Neurology JO - Pract Neurol DO - 10.1136/practneurol-2021-002952 SP - practneurol-2021-002952 AU - Lisa Batcheller AU - Mark Thaller AU - Ben Wright Y1 - 2021/09/11 UR - http://pn.bmj.com/content/early/2021/09/10/practneurol-2021-002952.abstract N2 - Cerebral lipiodol embolisation is a rare but serious complication of lymphangiography. A man in his seventies had undergone lymphangiography for a refractory chyle leak following oesophagectomy. The day after lymphangiography, his conscious level dropped with bilaterally miotic pupils, increased muscle tone and double incontinence. CT scan of the head showed patchy high density throughout basal ganglia, cortex and cerebellum but no infarct, in keeping with lipiodol embolisation. He was managed initially in intensive care and subsequently underwent thoracoscopy with clipping and suturing of the left thoracic duct, and later a talc pleurodesis. At 3 months, he had some cognitive limitations and was walking with a stick.All data relevant to the study are included in the article. ER -