scholarly journals Massive Cerebral Air Embolism on Ante Mortem CT Head Following Pneumothorax in a Child with Pneumonia

2011 ◽  
Vol 57 (6) ◽  
pp. 490-492 ◽  
Author(s):  
C. Azad ◽  
V. Parmar ◽  
P. Aggarwal
2021 ◽  
Vol 14 (7) ◽  
pp. e244006
Author(s):  
Dissanayake Mudiyanselage Chanaka Jayawardena ◽  
Rakesh K Panchal ◽  
Sanjay Agrawal ◽  
Indrajeet Das

A 75-year-old man with a history of epithelioid mesothelioma and a right-sided indwelling pleural catheter (IPC) presented with a history of a purulent fluid drainage via the IPC. The pleural fluid cultured Klebsiella oxytoca and Enterococcus faecalis. He was treated with a course of oral fluoroquinolone followed by uneventful IPC replacement. One and half hours postprocedure, the patient had a witnessed drop in conscious level accompanied by seizure like activity. Acute stroke was suspected and a CT head was performed. CT head revealed multiple serpiginous pockets of air along the cerebral fissure, with features that were highly suggestive of cerebral air embolism and multiple wedge-shaped areas of infarction involving the cerebral hemispheres. Further imaging revealed satisfactory position of the replaced IPC. The patient was admitted to the intensive care unit for high flow oxygen therapy and head down ventilation. However, his condition deteriorated and he died later.


2021 ◽  
Vol 22 ◽  
pp. 100305
Author(s):  
Yuwa Oka ◽  
Koji Tsuzaki ◽  
Mayu Kamei ◽  
Akihiro Kikuya ◽  
Toshiaki Hamano

2009 ◽  
Vol 10 (1) ◽  
pp. 81 ◽  
Author(s):  
Soo-Jung Um ◽  
Soo-Keol Lee ◽  
Doo Kyung Yang ◽  
Choonhee Son ◽  
Ki Nam Kim ◽  
...  

2013 ◽  
Vol 17 (1) ◽  
pp. 199-201 ◽  
Author(s):  
Seiya Inoue ◽  
Hiromitsu Takizawa ◽  
Yota Yamamoto ◽  
Akira Tangoku

2014 ◽  
Vol 32 (12) ◽  
pp. 1562.e1-1562.e2 ◽  
Author(s):  
Murat Yesilaras ◽  
Ozge Duman Atilla ◽  
Ersin Aksay ◽  
Turgay Yılmaz Kilic

CJEM ◽  
2015 ◽  
Vol 18 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Georg Reith ◽  
Bertil Bouillon ◽  
Samir G. Sakka ◽  
Jerome M. Defosse ◽  
Axel Gossmann ◽  
...  

AbstractCerebral air embolism (CAE) is a common, often lethal, complication in blunt and penetrating chest trauma. The factors affecting the outcome of CAE patients are poorly understood, and there is no generally accepted treatment algorithm. In this report, we present the case of a 28-year-old male motorcyclist with a massive CAE, including bilateral internal carotid artery air on computed tomographic examination following blunt chest trauma. With prehospital intubation, oxygen, transfusion, and open laparotomy but without any specific treatment regarding the CAE, a follow-up computed tomography (CT) scan approximately 6 hours later showed resolution of the cerebrovascular air. Recovery was unremarkable, and the patient was discharged neurologically intact after 22 days.


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