Bihemispheric Paradoxical Cerebral Embolism in a Patient with Pulmonary Thromboembolism and Presumptive Fistula Right-to-Left Shunt.
J Stroke Cerebrovasc Dis
; 25(6): e95-7, 2016 Jun.
Article
em 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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artéria Pulmonar
/
Embolia Pulmonar
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Veias Pulmonares
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Fístula Arteriovenosa
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Embolia Paradoxal
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Artéria Cerebral Média
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Infarto da Artéria Cerebral Média
/
Embolia Intracraniana
Tipo de estudo:
Prognostic_studies
Limite:
Aged
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Humans
/
Male
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article