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Bihemispheric Paradoxical Cerebral Embolism in a Patient with Pulmonary Thromboembolism and Presumptive Fistula Right-to-Left Shunt.
Zanati Bazan, Silméia Garcia; Braga, Gabriel Pereira; Luvizutto, Gustavo José; Trindade, André Petean; Pontes-Neto, Octávio Marques; Bazan, Rodrigo.
Afiliación
  • Zanati Bazan SG; Department of Internal Medicine, Botucatu Medical School-UNESP, São Paulo State University, São Paulo, Brazil.
  • Braga GP; Department of Neurology, Botucatu Medical School-UNESP, São Paulo State University, São Paulo, Brazil.
  • Luvizutto GJ; Department of Neurology, Botucatu Medical School-UNESP, São Paulo State University, São Paulo, Brazil. Electronic address: gluvizutto@fmb.unesp.br.
  • Trindade AP; Department of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School-UNESP, São Paulo State University, São Paulo, Brazil.
  • Pontes-Neto OM; Department of Neuroscience and Behavior, Ribeirão Preto Medical School-USP, São Paulo State University, São Paulo, Brazil.
  • Bazan R; Department of Neurology, Botucatu Medical School-UNESP, São Paulo State University, São Paulo, Brazil.
J Stroke Cerebrovasc Dis ; 25(6): e95-7, 2016 Jun.
Article en En | MEDLINE | ID: mdl-27105566
ABSTRACT
We report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Arteria Pulmonar / Embolia Pulmonar / Venas Pulmonares / Fístula Arteriovenosa / Embolia Paradójica / Arteria Cerebral Media / Infarto de la Arteria Cerebral Media / Embolia Intracraneal Tipo de estudio: Prognostic_studies Límite: Aged / Humans / Male Idioma: En Revista: J Stroke Cerebrovasc Dis Asunto de la revista: ANGIOLOGIA / CEREBRO Año: 2016 Tipo del documento: Article País de afiliación: Brasil
Texto completo
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Arteria Pulmonar / Embolia Pulmonar / Venas Pulmonares / Fístula Arteriovenosa / Embolia Paradójica / Arteria Cerebral Media / Infarto de la Arteria Cerebral Media / Embolia Intracraneal Tipo de estudio: Prognostic_studies Límite: Aged / Humans / Male Idioma: En Revista: J Stroke Cerebrovasc Dis Asunto de la revista: ANGIOLOGIA / CEREBRO Año: 2016 Tipo del documento: Article País de afiliación: Brasil