An Unusual Cerebral Air Embolism Developing within the Posterior Circulation Territory after a Needle Lung Biopsy
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概要
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We herein report the case of a 75-year-old woman with a paradoxical cerebral air embolism (CAE). She developed a bilateral visual disturbance at the time of needle puncture during a computed tomography (CT)-guided percutaneous needle lung biopsy in the face down position. The air density within the descending aorta on chest CT suggested the presence of a cerebral air embolism. Brain MRI demonstrated increased signal intensity in the bilateral occipital lobes on diffusion-weighted images. Usually, CAE occurs predominantly in the right hemisphere for anatomical reasons. The face down position and the anatomical features of the right subclavian artery, which diverges backward from the brachiocephalic artery, might explain such a unique distribution of CAE in this patient.
著者
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Katayama Yasuo
Department Of Internal Medicine Divisions Of Neurology Nephrology And Rheumatology Nippon Medical Sc
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Suzuki Kentaro
Department Of Chemistry Faculty Of Science Ehime University
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Abe Arata
Department of Neurological Sciences, Graduate School of Medicine, Nippon Medical School, Japan
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Abe Arata
Department of Neurology, Nippon Medical School Main Hospital, Japan
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Okubo Seiji
Department of Neurology, Nippon Medical School Main Hospital, Japan
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Ueda Masayuki
Department of Internal Medicine, Isumi Medical Center, Japan
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Suda Satoshi
Department of Neurology, Nippon Medical School Main Hospital, Japan
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Muraga Kanako
Department of Neurology, Nippon Medical School Main Hospital, Japan
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Suzuki Kentaro
Department of Neurology, Nippon Medical School Main Hospital, Japan
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