Document Detail

In-flight Seizures and Fatal Air Embolism: The Importance of a Chest Radiograph.
MedLine Citation:
PMID:  21555644     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To describe for the first time, to our knowledge, a case of recurrent in-flight-dependent seizures related to commercial airline flight in which the patient experienced a fatal air embolism secondary to a giant bronchogenic cyst.
DESIGN: Case report.
SETTING: University hospital. Patient  A female airline passenger presented with a seizure, then unconsciousness and death. The patient had experienced 2 previous episodes of in-flight seizures without any sequelae.
RESULTS: The patient had an air embolism proved by findings on cranial computed tomography (CT) and a CT perfusion study. The embolism was secondary to a giant bronchogenic cyst that was evident on chest CT. The patient was examined after the previous episodes of in-flight seizures, but no chest radiography had been performed.
CONCLUSIONS: We propose minor air embolism as a cause of in-flight seizures. This type of seizure can signify the existence of a giant bronchogenic cyst. We believe that obtaining a chest radiograph can be useful in patients with a history of in-flight seizures to rule out the presence of a bronchogenic cyst and to prevent a possibly fatal air embolism.
Javier Arnaiz; Enrique Marco de Lucas; Tatiana Piedra; Maria Elena Arnaiz Garcia; Ashesh D Patel; Agustin Gutierrez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of neurology     Volume:  68     ISSN:  1538-3687     ISO Abbreviation:  Arch. Neurol.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  661-4     Citation Subset:  AIM; IM    
Department of Radiology, Marqués de Valdecilla University Hospital, Avenida Valdecilla sn, Santander 39008, Spain.
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