Bihemispheric Paradoxical Cerebral Embolism in a Patient with Pulmonary Thromboembolism and Presumptive Fistula Right-to-Left Shunt

被引：2

作者：

Zanati Bazan, Silmeia Garcia ^{[1
]}

Braga, Gabriel Pereira ^{[2
]}

Luvizutto, Gustavo Jose ^{[2
]}

Trindade, Andre Petean ^{[3
]}

Pontes-Neto, Octavio Marques ^{[4
]}

Bazan, Rodrigo ^{[2
]}

机构：

[1] Sao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Internal Med, Sao Paulo, Brazil

[2] Sao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Neurol, Sao Paulo, Brazil

[3] Sao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Trop Dis & Diagnost Imaging, Sao Paulo, Brazil

[4] Sao Paulo State Univ, USP, Ribeirao Preto Med Sch, Dept Neurosci & Behav, Sao Paulo, Brazil

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2016年 / 25卷 / 06期

关键词：

Stroke; paradoxical embolism; echocardiogram; transcranial Doppler; HEREDITARY HEMORRHAGIC TELANGIECTASIA; ARTERIOVENOUS-FISTULA; BRAIN EMBOLISM; MALFORMATIONS;

D O I：

10.1016/j.jstrokecerebrovasdis.2016.03.038

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

We report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.

引用

页码：E95 / E97

页数：3

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