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
收藏
页码：976 / 979
页数：4
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