A case report of cerebral air embolism after esophagogastroduodenoscopy: Diagnosis and management in the emergency department

Journal of Emergency Medicine

Volumn 43, Issue 6, 2012, Pages 976-979

  Pandurangadu, Ananda V ^a   Paul, Jose A P ^a   Barawi, Mohammed ^a   Irvin, Charlene B ^a  

^a ST JOHN HOSPITAL AND MEDICAL CENTER   (United States)

Author keywords

cerebral air embolism; emergency department; esophagogastroduodenoscopy; hyperbaric oxygen; stroke

Indexed keywords

PHENYTOIN;

AGED; AIR EMBOLISM; ARTERIOVENOUS MALFORMATION; ARTICLE; BRAIN REGION; CASE REPORT; CEREBRAL AIR EMBOLISM; COMPUTER ASSISTED TOMOGRAPHY; DUODENAL ARTERIOVENOUS MALFORMATION; DYSARTHRIA; ECHOCARDIOGRAPHY; EMERGENCY WARD; ESOPHAGOGASTRODUODENOSCOPY; ESOPHAGUS BIOPSY; HEMIPARESIS; HUMAN; LETHARGY; LIMB WEAKNESS; MALE; NATIONAL INSTITUTES OF HEALTH STROKE SCALE; NEUROIMAGING; NEUROSURGEON; OUTPATIENT CARE; PATIENT MONITORING; PRIORITY JOURNAL; SEIZURE;

AGED; EMBOLISM, AIR; EMERGENCY SERVICE, HOSPITAL; ENDOSCOPY, DIGESTIVE SYSTEM; HUMANS; INTRACRANIAL EMBOLISM; MALE;

EID: 84870427409     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2010.11.031     Document Type: Article

References (33)

1. C.M. Muth, and E.S. Shank Gas embolism N Engl J Med 342 2000 476 482
2. G. Oriani, A. Marroni, and F. Wattel Handbook on hyperbaric medicine 1996 Springer Berlin/New York
3. N. Akhtar, W. Jafri, and T. Mozaffar Cerebral artery air embolism following an esophagogastroscopy: a case report Neurology 56 2001 136 137
4. P. Demaerel, A.M. Gevers, Y. De Bruecker, S. Sunaert, and G. Wilms Stroke caused by cerebral air embolism during endoscopy Gastrointest Endosc 57 2003 134 135
5. B.T. Green, and D.A. Tendler Cerebral air embolism during upper endoscopy: case report and review Gastrointest Endosc 61 2005 620 623
6. B.J. McAree, R. Gilliland, D.M. Campbell, J.W. Lucas, and W. Dickey Cerebral air embolism complicating esophagogastroduodenoscopy (EGD) Endoscopy 40 Suppl 2 2008 E191 E192
7. G.S. Raju, B.H. Bendixen, J. Khan, and R.W. Summers Cerebrovascular accident during endoscopy: consider cerebral air embolism, a rapidly reversible event with hyperbaric oxygen therapy Gastrointest Endosc 47 1998 70 73
8. M.A. Weber, J.B. Fiebach, M.P. Lichy, R. Weber, C. Schwark, and A.J. Grau Bilateral cerebral air embolism J Neurol 250 2003 1115 1117
9. G. Bou-Samra, P.J. Darby, and G.D. Christensen Cerebral air embolism during endoscopy Mo Med 94 1997 704 707
10. S.U. Christl, W. Scheppach, U. Peters, and T. Kirchner Cerebral air embolism after gastroduodenoscopy: complication of a duodenocaval fistula Gastrointest Endosc 40 1994 376 378
11. J.G. Heckmann, C.J. Lang, K. Kindler, W. Huk, F.J. Erbguth, and B. Neundorfer Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization Crit Care Med 28 2000 1621 1625
12. K. Thamburaj, and B. Devasia Cerebral air embolism during contrast-enhanced CT Pediatr Radiol 36 2006 887
13. L. Dube, C. Soltner, S. Daenen, J. Lemariee, P. Asfar, and P. Alquier Gas embolism: an exceptional complication of radial arterial catheterization Acta Anaesthesiol Scand 48 2004 1208 1210
14. C.W. Yang, and B.P. Yang Massive cerebral arterial air embolism following arterial catheterization Neuroradiology 47 2005 892 894
15. S.L. Hwang, A.S. Lieu, C.L. Lin, G.C. Liu, S.L. Howng, and T.H. Kuo Massive cerebral air embolism after cardiopulmonary resuscitation J Clin Neurosci 12 2005 468 469
16. C. Ozdoba, J. Weis, T. Plattner, R. Dirnhofer, and K. Yen Fatal scuba diving incident with massive gas embolism in cerebral and spinal arteries Neuroradiology 47 2005 411 416
17. J. Hawes, and E.W. Massey Neurologic injuries from scuba diving Neurol Clin 26 2008 297 308 xii
18. M.J. Hickey, and C.L. Zanetti Delayed-onset cerebral arterial gas embolism in a commercial airline mechanic Aviat Space Environ Med 74 2003 977 980
19. I. Sakai, and S. Nishizawa Cerebral air embolism after lung contusion. Case illustration J Neurosurg 95 2001 909
20. T. Ferry, L. Argaud, B. Delafosse, and D. Robert Inactive tuberculosis cavity responsible for fatal cerebral air embolism Intensive Care Med 32 2006 622 623
21. M. Tretjak, V. Gorjup, H. Mozina, M. Horvat, and M. Noc Cerebral and coronary gas embolism from the inhalation of pressurized helium Crit Care Med 30 2002 1156 1157
22. Y. Takeuchi, M. Yoshikawa, and K. Shirahama Cerebral artery air embolism during endoscopic variceal ligation: case report Gastrointest Endosc 59 2004 123 125
23. K. Shibano, N. Matsuda, and S. Takahashi Cerebral arterial air embolism associated with esophageal carcinoma Intern Med 41 2002 903 904
24. B.D. Butler, and B.A. Hills Transpulmonary passage of venous air emboli J Appl Physiol 59 1985 543 547
25. N.M. Thackray, P.M. Murphy, R.F. McLean, and J.L. deLacy Venous air embolism accompanied by echocardiographic evidence of transpulmonary air passage Crit Care Med 24 1996 359 361
26. E.A. Tovar, C. Del Campo, A. Borsari, R.P. Webb, J.R. Dell, and P.B. Weinstein Postoperative management of cerebral air embolism: gas physiology for surgeons Ann Thorac Surg 60 1995 1138 1142
27. Workshop panel. Final summary of recommendations: diving accident workshop 1990 P.B. Bennett, and R.E. Moon Diving accident management 1990 Undersea and Hyperbaric Medical Society Bethesda, MD 366 369
28. R.E. Moon, G. de Lisle Dear, and B.W. Stolp Treatment of decompression illness and latrogenic gas embolism Respir Care Clin N Am 5 1999 93 135
29. R.M. Smith, K.B. Van Hoesen, and T.S. Neuman Arterial gas embolism and hemoconcentration J Emerg Med 12 1994 147 153
30. P.M. Tibbles, and J.S. Edelsberg Hyperbaric-oxygen therapy N Engl J Med 334 1996 1642 1648
31. S.R. Thom, I. Mendiguren, and K. Hardy Inhibition of human neutrophil beta2-integrin-dependent adherence by hyperbaric O2 Am J Physiol 272 1997 C770 C777
32. th edn 2008 Undersea and Hyperbaric Medical Society Durham, NC
33. J.R. Broome, and D.J. Smith Pneumothorax as a complication of recompression therapy for cerebral arterial gas embolism Undersea Biomed Res 19 1992 447 455