Maslova N N, Miloserdov M A, Korneva Yu S, Shelyakin S Yu, Dedova N V, Evseev A V
Smolensk State Medical University, Smolensk, Russia.
Clinical Emergency Hospital, Smolensk, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(8. Vyp. 2):53-57. doi: 10.17116/jnevro202112108253.
The article describes the rare clinical case, demonstrating sudden onset of neurological manifestations (seizures and consequent formation of ischemic stroke foci) in a 29 year-old female patient during tooth extraction (right lower third molar) using the high-speed dental drill. Air injection through damaged tissues caused subcutaneous emphysema in the buccal area that caused air embolism. Presence of asymptomatic congenital heart defect in the patient (atrial septal defect) allowed the bubbles of air to move paradoxically from right to left with consequent embolization of small cerebral arteries. Treatment in specialized department was successful and had beneficial effect on patient's condition.
本文描述了一例罕见的临床病例，该病例显示一名29岁女性患者在使用高速牙钻拔除右下第三磨牙时突然出现神经学表现（癫痫发作并随后形成缺血性中风病灶）。通过受损组织注入空气导致颊部皮下气肿，进而引发空气栓塞。患者存在无症状的先天性心脏缺陷（房间隔缺损），使得空气泡反常地从右向左移动，随后导致小脑动脉栓塞。在专科科室的治疗取得成功，对患者病情产生了有益影响。
