A CASE REPORT OF CEREBRAL AIR EMBOLISM AFTER ESOPHAGOGASTRODUODENOSCOPY: DIAGNOSIS AND MANAGEMENT IN THE EMERGENCY DEPARTMENT

被引：11

作者：

Pandurangadu, Ananda V. ^{[1
]}

Paul, Jose A. P. ^{[2
]}

Barawi, Mohammed ^{[2
,3
]}

Irvin, Charlene B. ^{[1
]}

机构：

[1] St John Hosp & Med Ctr, Dept Emergency Med, Detroit, MI USA

[2] St John Hosp & Med Ctr, Dept Internal Med, Detroit, MI USA

[3] St John Hosp & Med Ctr, Dept Gastroenterol, Detroit, MI USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2012年 / 43卷 / 06期

关键词：

cerebral air embolism; esophagogastroduodenoscopy; stroke; emergency department; hyperbaric oxygen; HYPERBARIC-OXYGEN THERAPY; ARTERIAL GAS EMBOLISM; COMPLICATION; CATHETERIZATION; ENDOSCOPY; PASSAGE;

D O I：

10.1016/j.jemermed.2010.11.031

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Esophagogastroduodenoscopy (EGD) is a rare cause of cerebral air embolism (CAE). To our knowledge, there are only eight previously reported such cases in the history of the procedure. Objective: To identify clinical causes of CAE that can present to the emergency department (ED) and to understand the appropriate management of CAE. Case Report: A 71-year-old man presented with new-onset left-sided hemiparesis and dysarthria 2 h after undergoing an outpatient EGD. The patient was diagnosed with CAE in the ED after undergoing a computed tomography scan of the brain without contrast. Conclusion: The diagnosis of CAE is based on a thorough history and obtaining urgent radiographic imaging of the brain. The definitive treatment of CAE involves hyperbaric oxygen. (C) 2012 Elsevier Inc.

引用

页码：976 / 979

页数：4

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