Abstract：
INTRODUCTION:Arterial gas embolism (AGE) is a main iatrogenic complication resulting from the use of invasive procedures. It is difficult to diagnose if it is not clinically suspected. CASE REPORT:A 67-year-old male patient, with a history of interventions involving a mitral prosthesis and a double aortocoronary bypass, who visited Emergency room with symptoms of a high temperature and general malaise. He was canalised peripherally and the electrocardiogram (ECG) showed an auricular fibrillation that had already been detected. While under observation he suffered a loss of consciousness, generalised hypotonia, conjugated gaze deviation towards the right, lower left facial paralysis and left Babinski positive. A new ECG showed ST segment elevation in V2-V5. A cranial computerised tomography (CAT) scan with no contrast revealed a number of serpiginous images caused by the presence of air in vascular structures. A second cranial CAT scan showed the disappearance of the visible air and signs of ischemic stroke in the territory of the right middle and posterior cerebral arteries and the left middle cerebral artery. Clinical-radiological findings suggested an AGE in the brain with massive stroke and acute myocardial infarct with similar causation. CONCLUSIONS:It is not clear what caused the air embolism in this patient but it can most probably be explained by air accidentally entering a peripheral vein. Carrying out an early cranial CAT scan can provide us with a diagnosis and a later CAT scan can evaluate the consequences of the embolism.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Soto-Sarrión C,Poyatos C,Isarria-Vidal S,Faus-Cerdá R,Esteban-Hernández JMsubject
Has Abstractpub_date
2004-02-01 00:00:00pages
234-8issue
3eissn
0210-0010issn
1576-6578pii
rn2003324journal_volume
38pub_type
杂志文章abstract：INTRODUCTION:Significant progress in the understanding of the molecular genetics and pathophysiology of inherited neuropathies has been achieved during the last years. DEVELOPMENT:The causative genetic defects of most of the demyelinating forms are known and different chromosomal loci have been identified for the rare...
journal_title：Revista de neurologia
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更新日期：2001-01-16 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2017-02-16 00:00:00
abstract：INTRODUCTION:Progressive supranuclear palsy is a disease that normally presents only sporadically in adults and courses in a progressive, chronic manner. It is characterised by the presence of supranuclear ophthalmoplegia, postural instability, a Parkinsonian syndrome, pseudobulbar affect, cervical dystonia and cogniti...
journal_title：Revista de neurologia
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更新日期：2004-12-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2000-01-01 00:00:00
abstract：INTRODUCTION:A number of genetic and neuroimagen proofs support the idea that attention-deficit/hyperactivity disorder (ADHD) present a neurobiological alteration. Vesicular monoamine transporters (VMATs) are important proteins that regulate the intraneuronal monoamine concentration and disposition as this protein sequ...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2011-03-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
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更新日期：2011-01-16 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2000-08-16 00:00:00
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journal_title：Revista de neurologia
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doi：
更新日期：2001-02-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2000-10-01 00:00:00
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更新日期：2011-04-16 00:00:00
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更新日期：2009-02-27 00:00:00
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pub_type： 杂志文章,评审
doi：
更新日期：2006-04-10 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2004-11-16 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2002-10-16 00:00:00
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doi：
更新日期：2006-01-16 00:00:00
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pub_type： 历史文章,杂志文章
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更新日期：2014-02-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2000-12-16 00:00:00
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pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
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更新日期：2015-04-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2005-08-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2001-09-16 00:00:00
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pub_type： 杂志文章
doi：
更新日期：2001-08-01 00:00:00
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pub_type： 杂志文章,评审
doi：
更新日期：2007-05-21 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2001-03-16 00:00:00
