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Vachalová I, Ernst S, Vynogradova I, et al. Cerebral air embolism via port catheter and endoscopic retrograde cholangio-pancreatography. Springerplus. 2013;2:477doi: 10.1186/2193-1801-2-477.
Vachalová, I., Ernst, S., Vynogradova, I., Wöhrmann, S., & Heckmann, J. G. (2013). Cerebral air embolism via port catheter and endoscopic retrograde cholangio-pancreatography. SpringerPlus, 2477. https://doi.org/10.1186/2193-1801-2-477
Vachalová, Ivana, et al. "Cerebral air embolism via port catheter and endoscopic retrograde cholangio-pancreatography." SpringerPlus vol. 2 (2013): 477. doi: https://doi.org/10.1186/2193-1801-2-477
Vachalová I, Ernst S, Vynogradova I, Wöhrmann S, Heckmann JG. Cerebral air embolism via port catheter and endoscopic retrograde cholangio-pancreatography. Springerplus. 2013 Sep 22;2:477. doi: 10.1186/2193-1801-2-477. eCollection 2013. PMID: 24102043; PMCID: PMC3790902.
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Springerplus. 2013 Sep 22;2:477. doi: 10.1186/2193-1801-2-477. eCollection 2013.

Cerebral air embolism via port catheter and endoscopic retrograde cholangio-pancreatography.

SpringerPlus

Ivana Vachalová, Stefan Ernst, Irina Vynogradova, Silke Wöhrmann, Josef G Heckmann

Affiliations

  1. Department of Neurology, Municipal Hospital Landshut, Robert-Koch Str. 1, 84034 Landshut, Germany.

PMID: 24102043 PMCID: PMC3790902 DOI: 10.1186/2193-1801-2-477

Abstract

BACKGROUND: Cerebral air embolism (CAE) is a critical clinical condition necessitating rapid diagnosis and therapeutic measures.

METHODS: The authors describe two patients with lethal CAE.

RESULTS: An 81-year-old man rapidly developed coma with tetraplegia. CT-scan revealed prominent CAE whereby the entry of the air was via a port catheter for parenteral nutrition. A 45-year-old man with severe alcohol-toxic multiple organ damage needed endoscopic retrograde cholangio-pancreatography (ERCP) and a second esophagogastroscopy. After an epileptic seizure, the CT-scan of the brain showed small amounts of cerebral air in the posterior right hemisphere and in the sagittal superior sinus. Despite critical care the patient died.

CONCLUSION: CAE is a neurocritical emergency case. Early CT-scan of the brain can detect air, guide further therapy, and contribute to the assessment of the prognosis.

Keywords: Cerebral air embolism; Cranial computed tomography; Endoscopic retrograde cholangio-pancreatography; Esophagogastroduodenoscopy; Port catheter

References

  1. Crit Care Med. 2000 May;28(5):1621-5 - PubMed
  2. N Engl J Med. 2000 Feb 17;342(7):476-82 - PubMed
  3. N Engl J Med. 2004 Apr 29;350(18):1881 - PubMed
  4. J Emerg Med. 2012 Dec;43(6):976-9 - PubMed
  5. Springerplus. 2013 Aug 28;2:411 - PubMed
  6. Lancet. 2003 May 31;361(9372):1848 - PubMed
  7. J Neurol Neurosurg Psychiatry. 2012 Nov;83(11):1110-1 - PubMed
  8. Clin Physiol Funct Imaging. 2003 Sep;23(5):237-46 - PubMed
  9. Eur J Gastroenterol Hepatol. 2010 Oct;22(10):1157-62 - PubMed
  10. J Korean Med Sci. 2010 Oct;25(10):1536-8 - PubMed
  11. Clin Neuroradiol. 2012 Dec;22(4):371-4 - PubMed

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