Retrograde cerebral venous air embolism and the anatomical pathway of air bubbles: A case report
Yükleniyor...
Dosyalar
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Pneumocephalus due to cerebral venous air embolism is an uncommon phenomenon. It results from retrograde progression
of low weight air bubbles into dural venous sinuses during manipulation of a venous catheter, more frequently a central
venous catheter through the subclavian and the jugular veins. However, it may also occur in relation with a peripheral intravenous catheter as in our case. We report a 91 year old female patient with congestive heart failure who had been examined
in our emergency department two days previously due to dyspnea and received diuretic treatment through a peripheral intravenous line. She presented with vomiting and headache without obvious neurological deficits. Non-contrast cranial CT scan
revealed wide spread punctate air bubbles inside and outside the cranial vault (pneumocephalus), within the venous system.
The pneumocephalus was considered as iatrogenic due to the previous peripheral venous catheterization that resulted in retrograde migration of air bubbles through various venous connections into dural venous sinuses and extracranial veins. Since
cerebral venous air embolism is a potentially serious complication of various medical procedures, it should be considered in
differential diagnosis of nontraumatic headache and vomiting especially when there is a recent manipulation of venous lines.
Cranial CT scan is helpful for early diagnosis.
Açıklama
Anahtar Kelimeler
Computed Tomography, Pneumocephalus, Retrograde Cerebral Venous Air Embolism
Kaynak
Anatomy
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
Künye
Erok, B., Kıbıcı, K., Atça, A. Ö. (2020). Retrograde cerebral venous air embolism and the anatomical pathway of air bubbles: A case report. Anatomy, 14(3), 210 - 215.
