Artículos de revistas
Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
Fecha
2016-06-01Registro en:
Journal of Stroke and Cerebrovascular Diseases, v. 25, n. 6, p. e95-e97, 2016.
1532-8511
1052-3057
10.1016/j.jstrokecerebrovasdis.2016.03.038
2-s2.0-84963808201
2-s2.0-84963808201.pdf
Autor
Universidade Estadual Paulista (Unesp)
Institución
Resumen
We report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.