Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt

Detalhes bibliográficos
Autor(a) principal: Zanati Bazan, Silméia Garcia [UNESP]
Data de Publicação: 2016
Outros Autores: Braga, Gabriel Pereira [UNESP], Luvizutto, Gustavo José [UNESP], Trindade, André Petean [UNESP], Pontes-Neto, Octávio Marques [UNESP], Bazan, Rodrigo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.03.038
http://hdl.handle.net/11449/172841
Resumo: We report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.
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spelling Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shuntechocardiogramparadoxical embolismStroketranscranial DopplerWe report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.Department of Internal Medicine Botucatu Medical School-UNESP São Paulo State UniversityDepartment of Neurology Botucatu Medical School-UNESP São Paulo State UniversityDepartment of Tropical Diseases and Diagnostic Imaging Botucatu Medical School-UNESP São Paulo State UniversityDepartment of Neuroscience and Behavior Ribeirão Preto Medical School-USP São Paulo State UniversityDepartment of Internal Medicine Botucatu Medical School-UNESP São Paulo State UniversityDepartment of Neurology Botucatu Medical School-UNESP São Paulo State UniversityDepartment of Tropical Diseases and Diagnostic Imaging Botucatu Medical School-UNESP São Paulo State UniversityDepartment of Neuroscience and Behavior Ribeirão Preto Medical School-USP São Paulo State UniversityUniversidade Estadual Paulista (Unesp)Zanati Bazan, Silméia Garcia [UNESP]Braga, Gabriel Pereira [UNESP]Luvizutto, Gustavo José [UNESP]Trindade, André Petean [UNESP]Pontes-Neto, Octávio Marques [UNESP]Bazan, Rodrigo [UNESP]2018-12-11T17:02:23Z2018-12-11T17:02:23Z2016-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlee95-e97application/pdfhttp://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.03.038Journal of Stroke and Cerebrovascular Diseases, v. 25, n. 6, p. e95-e97, 2016.1532-85111052-3057http://hdl.handle.net/11449/17284110.1016/j.jstrokecerebrovasdis.2016.03.0382-s2.0-849638082012-s2.0-84963808201.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Stroke and Cerebrovascular Diseases0,7320,732info:eu-repo/semantics/openAccess2024-01-18T06:31:50Zoai:repositorio.unesp.br:11449/172841Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-01-18T06:31:50Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
title Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
spellingShingle Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
Zanati Bazan, Silméia Garcia [UNESP]
echocardiogram
paradoxical embolism
Stroke
transcranial Doppler
title_short Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
title_full Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
title_fullStr Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
title_full_unstemmed Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
title_sort Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt
author Zanati Bazan, Silméia Garcia [UNESP]
author_facet Zanati Bazan, Silméia Garcia [UNESP]
Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo José [UNESP]
Trindade, André Petean [UNESP]
Pontes-Neto, Octávio Marques [UNESP]
Bazan, Rodrigo [UNESP]
author_role author
author2 Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo José [UNESP]
Trindade, André Petean [UNESP]
Pontes-Neto, Octávio Marques [UNESP]
Bazan, Rodrigo [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Zanati Bazan, Silméia Garcia [UNESP]
Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo José [UNESP]
Trindade, André Petean [UNESP]
Pontes-Neto, Octávio Marques [UNESP]
Bazan, Rodrigo [UNESP]
dc.subject.por.fl_str_mv echocardiogram
paradoxical embolism
Stroke
transcranial Doppler
topic echocardiogram
paradoxical embolism
Stroke
transcranial Doppler
description We report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.
publishDate 2016
dc.date.none.fl_str_mv 2016-06-01
2018-12-11T17:02:23Z
2018-12-11T17:02:23Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.03.038
Journal of Stroke and Cerebrovascular Diseases, v. 25, n. 6, p. e95-e97, 2016.
1532-8511
1052-3057
http://hdl.handle.net/11449/172841
10.1016/j.jstrokecerebrovasdis.2016.03.038
2-s2.0-84963808201
2-s2.0-84963808201.pdf
url http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.03.038
http://hdl.handle.net/11449/172841
identifier_str_mv Journal of Stroke and Cerebrovascular Diseases, v. 25, n. 6, p. e95-e97, 2016.
1532-8511
1052-3057
10.1016/j.jstrokecerebrovasdis.2016.03.038
2-s2.0-84963808201
2-s2.0-84963808201.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal of Stroke and Cerebrovascular Diseases
0,732
0,732
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv e95-e97
application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1792962374718717952

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