Bouaggad Abderrahmane, Moussaoui Mohammed, Abassi Omar, Hassen Samah, Essodegui Fatiha
Department of Anesthesiology and Intensive Care, Darsalam Clinic of Casablanca, Casablanca, Morocco.
Department of Anesthesiology and Intensive Care, CHU Ibn Rochd, Casablanca, Morocco.
Indian J Crit Care Med. 2021 Aug;25(8):942-944. doi: 10.5005/jp-journals-10071-23933.
Cerebral air embolism due to pulmonary tuberculosis is an extremely rare cause of stroke. We report an unusual case of a presentation of cerebral air embolism likely due to pulmonary tuberculosis lesions during a severe cough. We discuss the relationship between the pulmonary tuberculosis and the occurrence of the cerebral air embolism. A 55-year-old man with lung tuberculosis suddenly experienced a nontraumatic loss of consciousness after a severe cough. The magnetic resonance imaging confirmed an ischemic stroke due to cerebral air embolism. The thoracic scan revealed tuberculosis with a parenchymatous cavity. Patients with intrapulmonary tuberculosis cavities should be strongly considered for surgical repair and should be warned about the risk of rupture of the cavity in the situation of increasing thoracic pressure. Bouaggad A, Moussaoui M, Abassi O, Hassen S, Essodegui F. Massive Cerebral Air Embolism Causing Stroke Secondary to Pulmonary Tuberculosis. Indian J Crit Care Med 2021;25(8):942-944.
肺结核导致的脑空气栓塞是一种极其罕见的中风病因。我们报告了一例不寻常的病例，该病例可能是由于严重咳嗽期间肺结核病灶导致脑空气栓塞。我们讨论了肺结核与脑空气栓塞发生之间的关系。一名55岁的肺结核男性在剧烈咳嗽后突然出现非创伤性意识丧失。磁共振成像证实为脑空气栓塞所致的缺血性中风。胸部扫描显示有实质空洞的肺结核。对于患有肺内结核空洞的患者，应强烈考虑进行手术修复，并应警告其在胸内压升高情况下空洞破裂的风险。布阿加德A、穆萨维M、阿巴西O、哈森S、埃索德吉F。肺结核继发大量脑空气栓塞导致中风。《印度重症监护医学杂志》2021年；25(8):942 - 944。
