Cerebral gas embolism as a complication of diffuse interstitial lung disease
Introduction: Cerebral gas embolism is an unusual but extremely serious condition that occurs when air is introduced into the arterial or venous circulation of the brain. Although rare, it can lead to significant neurological deficits and even the death of the patient. Clinical Case: 76-year-old...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2024
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42414 |
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I10-R327-article-42414 |
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Universidad Nacional de Córdoba |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
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Español |
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Artículo revista |
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embolism mediastinal emphysema embolic stroke embolia enfisema mediastínico accidente cerebrovascular embólico. embolia enfisema mediastínico AVC embólico |
| spellingShingle |
embolism mediastinal emphysema embolic stroke embolia enfisema mediastínico accidente cerebrovascular embólico. embolia enfisema mediastínico AVC embólico Ramon y Cajal Calvo, Juan Perez Abad, Laura Mayoral Campos, Victoria Carro Alonso, Beatriz Cerebral gas embolism as a complication of diffuse interstitial lung disease |
| topic_facet |
embolism mediastinal emphysema embolic stroke embolia enfisema mediastínico accidente cerebrovascular embólico. embolia enfisema mediastínico AVC embólico |
| author |
Ramon y Cajal Calvo, Juan Perez Abad, Laura Mayoral Campos, Victoria Carro Alonso, Beatriz |
| author_facet |
Ramon y Cajal Calvo, Juan Perez Abad, Laura Mayoral Campos, Victoria Carro Alonso, Beatriz |
| author_sort |
Ramon y Cajal Calvo, Juan |
| title |
Cerebral gas embolism as a complication of diffuse interstitial lung disease |
| title_short |
Cerebral gas embolism as a complication of diffuse interstitial lung disease |
| title_full |
Cerebral gas embolism as a complication of diffuse interstitial lung disease |
| title_fullStr |
Cerebral gas embolism as a complication of diffuse interstitial lung disease |
| title_full_unstemmed |
Cerebral gas embolism as a complication of diffuse interstitial lung disease |
| title_sort |
cerebral gas embolism as a complication of diffuse interstitial lung disease |
| description |
Introduction: Cerebral gas embolism is an unusual but extremely serious condition that occurs when air is introduced into the arterial or venous circulation of the brain. Although rare, it can lead to significant neurological deficits and even the death of the patient.
Clinical Case: 76-year-old patient with pre-existing diffuse interstitial lung disease, who experienced a massive stroke due to spontaneous pneumomediastinum. Her presentation included confusion, seizures, and motor weakness. Imaging tests revealed air bubbles in the cerebral sulci and hypodense areas in the cerebellum and parietooccipitals. In addition, pneumothorax and air in the upper mediastinum were noted on chest radiographs and chest CT scan. Despite therapeutic measures such as hyperbaric oxygen, the patient unfortunately died due to multiple organ failure.
Discussion: The diagnosis of cerebral gas embolism generally involves performing a cerebral computed tomography, which is highly sensitive for detecting the presence of air in the cerebral vessels. Management includes monitoring of vital and neurological signs, as well as specific measures such as airway closure, venous catheter aspiration, Trendelenburg positioning, and hyperbaric oxygen.
Conclusion: Cerebral gas embolism is a potentially fatal condition that requires a brain computed tomography for diagnosis and it is vitally important to know the prevention measures to avoid the appearance of this complication and also to know the general measures to adopt when it occurs.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
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2024 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42414 |
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I10-R327-article-424142024-06-28T16:35:58Z Cerebral gas embolism as a complication of diffuse interstitial lung disease Embolismo gaseoso cerebral como complicación de una enfermedad pulmonar intersticial difusa Embolia gasosa cerebral como complicação de doença pulmonar intersticial difusa Ramon y Cajal Calvo, Juan Perez Abad, Laura Mayoral Campos, Victoria Carro Alonso, Beatriz embolism mediastinal emphysema embolic stroke embolia enfisema mediastínico accidente cerebrovascular embólico. embolia enfisema mediastínico AVC embólico Introduction: Cerebral gas embolism is an unusual but extremely serious condition that occurs when air is introduced into the arterial or venous circulation of the brain. Although rare, it can lead to significant neurological deficits and even the death of the patient. Clinical Case: 76-year-old patient with pre-existing diffuse interstitial lung disease, who experienced a massive stroke due to spontaneous pneumomediastinum. Her presentation included confusion, seizures, and motor weakness. Imaging tests revealed air bubbles in the cerebral sulci and hypodense areas in the cerebellum and parietooccipitals. In addition, pneumothorax and air in the upper mediastinum were noted on chest radiographs and chest CT scan. Despite therapeutic measures such as hyperbaric oxygen, the patient unfortunately died due to multiple organ failure. Discussion: The diagnosis of cerebral gas embolism generally involves performing a cerebral computed tomography, which is highly sensitive for detecting the presence of air in the cerebral vessels. Management includes monitoring of vital and neurological signs, as well as specific measures such as airway closure, venous catheter aspiration, Trendelenburg positioning, and hyperbaric oxygen. Conclusion: Cerebral gas embolism is a potentially fatal condition that requires a brain computed tomography for diagnosis and it is vitally important to know the prevention measures to avoid the appearance of this complication and also to know the general measures to adopt when it occurs. Introducción: La embolia gaseosa cerebral es una afección inusual pero extremadamente grave que se produce cuando se introduce aire en la circulación arterial o venosa del cerebro. Aunque poco común, puede derivar en déficits neurológicos significativos e incluso la muerte del paciente. Caso Clínico: Paciente de 76 años con una enfermedad pulmonar intersticial difusa preexistente, que experimentó un ictus masivo debido a un neumomediastino espontáneo. Su presentación incluyó confusión, convulsiones y debilidad motora. Las pruebas de imagen revelaron burbujas de aire en los surcos cerebrales y áreas hipodensas en el cerebelo y parietooccipitales. Además, se observó neumotórax y aire en el mediastino superior en las radiografías de tórax y la tomografía torácica. A pesar de las medidas terapéuticas como el oxígeno hiperbárico, la paciente lamentablemente falleció debido al fallo multiorgánico. Discusión: El diagnóstico de embolia gaseosa cerebral generalmente implica la realización de una tomografía computarizada cerebral, que es altamente sensible para detectar la presencia de aire en los vasos cerebrales. El manejo incluye el control de las constantes vitales y neurológicas, así como medidas específicas como cierre de la entrada de aire, aspiración de catéteres venosos, posicionamiento de Trendelenburg y oxígeno hiperbárico. Conclusión: La embolia gaseosa cerebral es una afección potencialmente mortal que requiere una tomografía computarizada cerebral para el diagnóstico y de vital importancia conocer las medidas de prevención para evitar la aparición de esta complicación y así mismo conocer las medidas generales a adoptar cuando ésta se presenta. Introdução: A embolia gasosa cerebral é uma condição incomum, mas extremamente grave, que ocorre quando o ar é introduzido na circulação arterial ou venosa do cérebro. Embora rara, pode levar a déficits neurológicos significativos e até à morte do paciente. Caso Clínico: Paciente de 76 anos com doença intersticial pulmonar difusa pré-existente, que apresentou acidente vascular cerebral volumoso por pneumomediastino espontâneo. Sua apresentação incluiu confusão, convulsões e fraqueza motora. Os exames de imagem revelaram bolhas de ar nos sulcos cerebrais e áreas hipodensas no cerebelo e parietooccipitais. Além disso, pneumotórax e ar no mediastino superior foram observados nas radiografias de tórax e na tomografia computadorizada de tórax. Apesar de medidas terapêuticas como oxigênio hiperbárico, o paciente infelizmente faleceu por falência de múltiplos órgãos. Discussão: O diagnóstico de embolia gasosa cerebral geralmente envolve a realização de tomografia computadorizada cerebral, que é altamente sensível para detectar a presença de ar nos vasos cerebrais. O manejo inclui monitoramento dos sinais vitais e neurológicos, bem como medidas específicas como fechamento das vias aéreas, aspiração por cateter venoso, posicionamento de Trendelenburg e oxigênio hiperbárico. Conclusão: A embolia gasosa cerebral é uma condição potencialmente fatal que requer uma tomografia computadorizada cerebral para diagnóstico e é de vital importância conhecer as medidas de prevenção para evitar o aparecimento desta complicação e também conhecer as medidas gerais a adotar quando ela ocorre. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-06-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/42414 10.31053/1853.0605.v81.n2.42414 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 2 (2024); 381-390 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 2 (2024); 381-390 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 2 (2024); 381-390 1853-0605 0014-6722 10.31053/1853.0605.v81.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/42414/45473 https://revistas.unc.edu.ar/index.php/med/article/view/42414/45049 Derechos de autor 2024 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |