Document Detail

A 62-year-old woman with cerebral artery air embolism during commercial air travel.
MedLine Citation:
PMID:  20220454     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Air embolism to the cerebral artery circulation is a rare complication previously associated with surgery, scuba-diving, induced abortion, angiography, and pneumothorax. However, air embolism secondary to a ruptured air bulla during commercial air travel has rarely been reported.
METHODS: We report a patient who became unconsciousness 30 minutes after her plane took off.
RESULTS: The patient was found to have an acute brain infarct in a watershed distribution secondary to multiple, bilateral, intraparenchymal air bubbles. Further investigation revealed a large lung bulla with an air-fluid level.
CONCLUSION: Air embolism was due to rupture of the lung bulla into the pulmonary venous outflow. Whether the rupture was spontaneous or due to a stretch injury from a change of air pressure resulting in pulmonary barotrauma occurring during commercial air travel is uncertain.
Johnny Salameh
Related Documents :
17805494 - Symptomatic cerebral air embolism during neuro-angiographic procedures: incidence and p...
8412174 - Utility of the neodymium:yttrium-aluminum-garnet (nd:yag) laser for extensive pulmonary...
21946624 - Arterial aging: a review of the pathophysiology and potential for pharmacologicalinterv...
702544 - Ventilation corrected oxygen tension in lethal pulmonary embolism.
21105894 - Urocortin-2 induces vasorelaxation of coronary arteries isolated from patients with hea...
17721054 - Dura-based giant intracranial schwannoma in the middle fossa.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The neurologist     Volume:  16     ISSN:  2331-2637     ISO Abbreviation:  Neurologist     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-11     Completed Date:  2010-06-14     Revised Date:  2014-11-05    
Medline Journal Info:
Nlm Unique ID:  9503763     Medline TA:  Neurologist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  136-7     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acute Disease
Brain Infarction / etiology*,  pathology,  therapy
Cerebral Arterial Diseases / etiology*,  pathology,  therapy
Embolism, Air / etiology*,  pathology,  therapy
Fatal Outcome
Lung Diseases / complications,  radiography,  therapy
Magnetic Resonance Imaging
Middle Aged
Time Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A case report of bilateral superior altitudinal hemianopia with cerebral infarction.
Next Document:  Are corticosteroid and antiviral treatments effective for bell palsy? A critically appraised topic.