Paradoxical Cerebral Air Embolism Occurred with Postural Change during Rehabilitation, in a Patient with Ipsilateral Internal Carotid Artery Occlusion
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概要
- 論文の詳細を見る
We report a 76-year-old man with paradoxical cerebral air embolism. He developed consciousness disturbance and left hemiparesis after a postural change in rehabilitation. CT showed multiple air densities within the right hemisphere. An echocardiography showed a large right-to-left (RL) shunt. We considered the reason to be that a small amount of air entered, and the Valsalva-like maneuver with the postural change moved air into arterial circulation through the RL shunt and embolized a brain artery. The present case showed that even a small amount of air in the venous circulation may become a potential risk for cerebral air embolism, especially in the presence of a large RL shunt.
- 社団法人 日本内科学会の論文
著者
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Katayama Yasuo
Division Of Cyclotron Nuclear Medicine Cyclotron And Radioisotope Center Tohoku University
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Nishiyama Yasuhiro
Division Of Cardiology Kurume University Medical Center
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Nishiyama Yasuhiro
Divisions of Neurology, Nephrology and Rheumatology, Department of Internal Medicine, Nippon Medical School Hospital, Japan
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Katayama Yasuo
Divisions of Neurology, Nephrology and Rheumatology, Department of Internal Medicine, Nippon Medical School Hospital, Japan
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Ueda Masayuki
Divisions of Neurology, Nephrology, and Rheumatology, Department of Internal Medicine, Nippon Medical School, Japan
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Abe Arata
Divisions of Neurology, Nephrology and Rheumatology, Department of Internal Medicine, Nippon Medical School Hospital, Japan
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Okubo Seiji
Divisions of Neurology, Nephrology and Rheumatology, Department of Internal Medicine, Nippon Medical School Hospital, Japan
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Katsura Kenichiro
Divisions of Neurology, Nephrology and Rheumatology, Department of Internal Medicine, Nippon Medical School Hospital, Japan
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Suzuki Kentaro
Divisions of Neurology, Nephrology and Rheumatology, Department of Internal Medicine, Nippon Medical School Hospital, Japan
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