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自发性脑空气栓塞——一种不常见的情况。

Spontaneous Cerebral Air Embolism-An Unusual Scenario.

机构信息

Department of Neurology, Institute of Neuroscience, Medanta-The Medicity, Gurgaon, Haryana, India.

Department of Radiology and Imaging, Institute of Neuroscience, Medanta-The Medicity, Gurgaon, Haryana, India.

出版信息

Neurol India. 2023 Jul-Aug;71(4):772-774. doi: 10.4103/0028-3886.383877.

DOI:10.4103/0028-3886.383877
PMID:37635514
Abstract

The introduction of air into cerebral venous or arterial circulation known as cerebral air embolism (CAE) is a rare clinical entity. CAE is commonly iatrogenic secondary to central venous catheter (CVC) placement or removal, various endoscopic procedures, or trauma or surgical scenarios. Here we report a case of spontaneous CAE in an unusual scenario. A 71-year-old male presented to emergency after developing giddiness following a yoga session. His MRI showed air embolism in the posterior fossa along cerebellar folia, prepontine, and suprasellar cisterns and tracking superiorly along the tentorium cerebelli. CAE is a rare clinical entity. Our case had CAE as a complication of cholesteatoma and possibly got triggered due to change in air pressor dynamics during yoga session.

摘要

空气进入脑静脉或动脉循环,即脑空气栓塞(CAE),是一种罕见的临床病症。CAE 通常是由中心静脉导管(CVC)放置或移除、各种内镜检查或创伤或手术情况等医源性原因引起的。在这里,我们报告了一个不常见情况下的自发性 CAE 病例。一名 71 岁男性在瑜伽课后出现头晕,随后到急诊就诊。他的 MRI 显示后颅窝小脑叶片、桥前池和鞍上池有空气栓塞,并沿小脑幕向上追踪。CAE 是一种罕见的临床病症。我们的病例是由于胆脂瘤的并发症而导致 CAE,可能是由于瑜伽过程中气压变化而引发的。

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