Cerebral air embolism: A hidden cause of acute ischemic stroke

IF 0.4 Q4 CLINICAL NEUROLOGY Neurology and Clinical Neuroscience Pub Date : 2022-10-20 DOI:10.1111/ncn3.12676
C. Zivelonghi, C. D. De Pasqual, M. Plebani, M. Capellari
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引用次数: 0

Abstract

A 46‐year‐old man presented to the Emergency Department because of food bolus impaction after an emergent esophagogastroduodenoscopy (EGD). Three hours after the procedure, awakening from general anesthesia, he complained drowsiness and left‐sided weakness. Brain CT scan was unremarkable, while CT angiography performed later revealed signs of pneumomediastinum likely from an esophageal laceration. Thorough cardiological, hematological, and rheumatological investigations during hospital stay proved unremarkable. Cerebral air embolism (CAE) has been reported as a potential complication of endoscopic procedures, but the precise mechanism is still unknown.
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脑空气栓塞:急性缺血性脑卒中的隐藏原因
一名46岁的男子在紧急食管胃十二指肠镜检查(EGD)后因食物团嵌塞而被送往急诊科。手术后三小时,他从全身麻醉中醒来,抱怨嗜睡和左侧无力。脑部CT扫描不明显,而随后进行的CT血管造影术显示纵隔气肿的迹象,可能是食道撕裂所致。住院期间进行的全面的心脏病、血液学和风湿病调查证明并不显著。脑空气栓塞(CAE)已被报道为内窥镜手术的潜在并发症,但其确切机制尚不清楚。
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