Document Detail

Paradoxical brain embolism caused by an arterial-venous fistula: a diagnostic pitfall.
MedLine Citation:
PMID:  19936881     Owner:  NLM     Status:  MEDLINE    
The transesophageal echocardiography (TEE) and contrast-enhanced transcranial Doppler/Duplex ultrasonography (ceTCD) are complementary methods for diagnosing a right to left shunt across a patent foramen ovale. We report on a case of paradoxical embolism across a subclavian arterial-venous fistula. This case underlines the necessity of performing the ceTCD, as in this condition the right to left shunt could be detected by means of ceTCD, whereas the TEE reveals regular findings.
Piergiorgio Lochner; Frediano Tezzon; Rafaelle Nardone; Christian Tanislav
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-21
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  31     ISSN:  1590-3478     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-13     Completed Date:  2010-08-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  341-3     Citation Subset:  IM    
Department of Neurology, University Hospital Giessen, Am Steg 14, 35392, Giessen, Germany.
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MeSH Terms
Arteriovenous Fistula / complications*,  diagnosis*,  ultrasonography
Cerebral Angiography
Diagnosis, Differential
Echocardiography, Transesophageal
Embolism, Paradoxical / diagnosis*,  etiology*,  ultrasonography
Intracranial Embolism / diagnosis*,  etiology*,  ultrasonography
Ischemic Attack, Transient / diagnosis,  etiology,  ultrasonography
Subclavian Artery / radiography,  ultrasonography
Subclavian Vein / radiography,  ultrasonography
Ultrasonography, Doppler, Transcranial / methods
Young Adult

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