TABLE 1:

Summary of clinical features in five patients with delayed encephalopathy of CO intoxication

Patient/Age, y/Sex*Initial Manifestations of Acute CO IntoxicationLucid Interval, wkMajor Clinical Findings of Delayed Encephalopathy
1/54/FComa with multiple burn injury3Short-term memory loss, confabulation; much improved at 7-mo follow-up
2/71/MSudden decrease of verbal output, free voiding1Aphasia, gait disturbance; much improved at 5-mo follow-up
3/63/MAbnormal repetitive behavior, progressive abulia3Abulia, akinetic mutism; much improved at 8-mo follow-up
4/65/FComa, decrease of verbal output and cognitive dysfunction4Urinary/fecal incontinence, short-stepped gait; persistent clinical symptoms at 6-mo follow-up
5/63/FComa, free voiding, and defecation4Abulia, bradykinesia, free voiding; much improved at 5-mo follow-up
  • * In all patients except patient 4, the cause of their exposure to CO gas was a gas leakage from an under-the-floor home heating system. Patient 4 was exposed to exhaust gas from a car.