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Accidental Cerebral Venous Gas Embolism in a Young Patient With Congenital Heart Disease

Department of Neurology, Hospital de Pediatría Prof Dr J. P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina

Hugo Antonio Arroyo, MD

Department of Neurology, Hospital de Pediatría Prof Dr J. P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina, hugoarroyo{at}arnet.com.ar

This article describes an 11-year-old girl with a diagnosis of Ebstein's anomaly. Glenn and Fontan surgeries were performed successfully. She had a generalized tonic-clonic seizure after peripheral intravenous infusion under pressure. A computed tomography brain scan performed 30 minutes later showed multiple serpiginous hypodensities in the cortical sulci and in the superior longitudinal sinus compatible with cerebral venous gas embolism. At follow-up 1 month later, the girl had severe motor impairment. Cerebral gas embolism should be considered in a patient with risk factors and acute neurological symptoms in order to select the treatment of choice, hyperbaric oxygen, and reduce damage to brain tissues.

Key Words: gas embolism • cerebral venous gas embolism • air embolism

Journal of Child Neurology, Vol. 23, No. 1, 121-123 (2008)
DOI: 10.1177/0883073807308696


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				C. J. Schlimp and W. Lederer Factors Facilitating Retrograde Cerebral Venous Air Embolism J Child Neurol, August 1, 2008; 23(8): 973 - 973. [PDF]

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