Brain Abscess Caused by Pulmonary Arteriovenous Fistulas without Rendu-Osler-Weber Disease
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概要
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A 52-year-old man was admitted with a brain abscess in the left basal ganglia. He had a paradoxical brain embolic mechanism owing to a pulmonary arteriovenous fistula (PAVF) and was diagnosed as having a right-to-left shunt by transesophageal echocardiography (TEE) and transcranial color Doppler (TCD) with saline contrast medium. We determined that the brain abscess was caused by the PAVFs without Rendu-Osler-Weber disease. TEE and TCD with saline contrast medium were very useful for identifying the presence of the right-to-left shunt that caused the brain abscess.
著者
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Uchino Makoto
Department Of Neurology Graduate School Of Medical Sciences Kumamoto University
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Hirano Teruyuki
Department Of Neurology Graduate School Of Medical Science Kumamoto University
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Fuwa Isao
Department Of Neurosurgery University Of Washington:m.d. Division Of Neurosurgery Minamata General M
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Kawano Hiroyuki
Department Of Applied Chemistry Faculty Of Engineering Oita University
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Ikeno Koichi
Department of Neurology, Arao Municipal Hospital
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