Retrograde cerebral venous air embolism and the anatomical pathway of air bubbles: A case report

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dc.authorid0000-0002-5412-8355en_US
dc.authorid0000-0002-7500-3316en_US
dc.contributor.authorErok, Berrin
dc.contributor.authorKıbıcı, Kenan
dc.contributor.authorAtça, Ali Önder
dc.date.accessioned2022-08-10T13:35:31Z
dc.date.available2022-08-10T13:35:31Z
dc.date.issued2020en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü,Beyin ve Sinir Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractPneumocephalus 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.en_US
dc.identifier.citationErok, 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.en_US
dc.identifier.endpage215en_US
dc.identifier.issue3en_US
dc.identifier.startpage210en_US
dc.identifier.trdizinid449878
dc.identifier.urihttps://hdl.handle.net/20.500.12939/2854
dc.identifier.volume14en_US
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorKıbıcı, Kenan
dc.institutionauthorAtça, Ali Önder
dc.language.isoen
dc.relation.ispartofAnatomy
dc.relation.isversionof10.2399/ana.20.787966en_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectComputed Tomographyen_US
dc.subjectPneumocephalusen_US
dc.subjectRetrograde Cerebral Venous Air Embolismen_US
dc.titleRetrograde cerebral venous air embolism and the anatomical pathway of air bubbles: A case report
dc.typeArticle

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