J Neurocrit Care.  2019 Jun;12(1):64-65. 10.18700/jnc.190085.

Cerebral air embolism treated using hyperbaric oxygen therapy

Affiliations
  • 1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. sbjeonmd@gmail.com

Abstract

No abstract available.


MeSH Terms

Embolism, Air*
Hyperbaric Oxygenation*

Figure

  • Fig. 1. Computed tomography (CT) and magnetic resonance imaging (MRI) scans of the brain obtained before (upper row) and after (lower row) hyperbaric oxygen therapy (HBOT). (A) Initial CT scan showing multiple air emboli, predominantly in the right hemisphere. (B) Initial MRI scan showing multiple air emboli on susceptibility-weighted imaging, (C) acute infarcts on diffusion-weighted imaging, and (D) diffuse enhancement on T1-weighted contrast-enhanced imaging. The Glasgow Coma Scale score was 5 (eye opening, 2; motor response, 2; and verbal response, 1) when the initial MRI scan was obtained. (E) Follow-up CT scan obtained 80 minutes after HBOT showing disappearance of air emboli. (F) Follow-up MRI scan obtained 5 days after HBOT showing disappearance of air emboli on susceptibility-weighted imaging, (G) decrease in infarct size on diffusion-weighted imaging, and (H) resolution of diffuse enhancement on T1-weighted contrast-enhanced imaging. The Glasgow Coma Scale score was 14 (eye opening: 4, motor response: 6, and verbal response: 4) when the follow-up MRI scan was obtained. White arrows indicate air emboli, black arrows indicate acute infarcts, and white arrowheads indicate diffuse T1-enhancement.


Cited by  1 articles

Delayed cerebral infarction due to cerebral venous air emboli after cardiac arrest
Yoon-Kyung Lee, Jin-Heon Jeong
J Neurocrit Care. 2021;14(1):61-62.    doi: 10.18700/jnc.210012.


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