Frisoni G B, Di Monda V, Bariselli M
Clinica Neurologica dell'Università di Brescia.
Ital J Neurol Sci. 1990 Feb;11(1):61-4. doi: 10.1007/BF02334907.
We present a case of stroke in a young girl, preceded by a deep vein thrombosis and pulmonary embolism, both clinically asymptomatic, and accompanied by upper limb acute ischemia. Diagnosis of paradoxical embolism through a patent foramen ovale was made on clinical grounds and with contrast echocardiography. We discuss the main points leading to diagnosis, stressing the importance of contrast echocardiography. We also suggest that paradoxical embolism could be a more frequent cause of stroke than usually suspected.
我们报告了一例年轻女孩中风的病例，该病例之前有深静脉血栓形成和肺栓塞，两者在临床上均无症状，并伴有上肢急性缺血。通过临床依据和对比超声心动图诊断为通过卵圆孔未闭的反常栓塞。我们讨论了导致诊断的要点，强调了对比超声心动图的重要性。我们还提出，反常栓塞可能是比通常怀疑的更常见的中风原因。
