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Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation

Authors
Park, Dong-HyukChung, Yong-GuKang, Shin-HyukPark, Jung-YulPark, Youn-KwanLee, Hoon-Kap
Issue Date
11월-2007
Publisher
ELSEVIER SCIENCE BV
Keywords
cerebral air embolism; continuous positive airway pressure; pneumocephalus; pontine hemorrhage
Citation
CLINICAL NEUROLOGY AND NEUROSURGERY, v.109, no.9, pp.803 - 805
Indexed
SCIE
SCOPUS
Journal Title
CLINICAL NEUROLOGY AND NEUROSURGERY
Volume
109
Number
9
Start Page
803
End Page
805
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/125682
DOI
10.1016/j.clineuro.2007.06.006
ISSN
0303-8467
Abstract
We report the case of a 48-year-old male with iatrogenic arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage. The patient inadvertently received continuous positive pressure ventilation without exhalation for a few minutes, resulting in pneumothorax, interstitial emphysema, pneumoperitoneum, and arterial cerebral air embolism at the site of the intracerebral hemorrhage. This is the first report of pneumocephalus without head trauma or previous surgery in which the air embolism occurs at the site of a spontaneous intracerebral hemorrhage. We hypothesize that air preferentially leaked into the brain parenchyma through the weakened perforating pontine artery that caused the intracerebral bleeding. (C) 2007 Elsevier B.V. All rights reserved.
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