Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt

dc.contributorUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-12-11T17:02:23Z
dc.date.available2018-12-11T17:02:23Z
dc.date.created2018-12-11T17:02:23Z
dc.date.issued2016-06-01
dc.identifierJournal of Stroke and Cerebrovascular Diseases, v. 25, n. 6, p. e95-e97, 2016.
dc.identifier1532-8511
dc.identifier1052-3057
dc.identifierhttp://hdl.handle.net/11449/172841
dc.identifier10.1016/j.jstrokecerebrovasdis.2016.03.038
dc.identifier2-s2.0-84963808201
dc.identifier2-s2.0-84963808201.pdf
dc.description.abstractWe 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.
dc.languageeng
dc.relationJournal of Stroke and Cerebrovascular Diseases
dc.relation0,732
dc.relation0,732
dc.rightsAcesso aberto
dc.sourceScopus
dc.subjectechocardiogram
dc.subjectparadoxical embolism
dc.subjectStroke
dc.subjecttranscranial Doppler
dc.titleBihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
dc.typeArtículos de revistas


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