A patient received an overdose of intravascular contrast medium and ex
perienced protracted seizures associated with radiographic evidence of
prolonged retention of the contrast agent in the cerebral cortex, bas
al ganglia, and thalami. This is only the second report and the first
survivor of a similar neurologic syndrome occurring in a patient after
contrast agent overdose. After the seizures resolved, there was a tra
nsient period of parkinsonism probably due to the toxic effect of cont
rast on the basal ganglia.