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Case Report BMJ Case Rep 2016

Paradoxical cerebral air embolism causing large vessel occlusion treated with endovascular aspiration

Belton P, Nanda A, Alqadri S, Khakh G, Chandrasekaran P, Newey C, et al. — BMJ Case Rep, 2016

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

This case report describes a new approach to treat a brain air bubble that blocked a major blood vessel, using a special suction technique called endovascular aspiration.

What They Found

A patient who developed a cerebral air embolism after a medical procedure had severe stroke symptoms with a National Institutes of Health Stroke Scale (NIHSS) score of 16. After treatment with endovascular aspiration, the patient's NIHSS score improved to 4 immediately, and further to 1 at a one-month follow-up, with a modified Rankin Scale score of 1.

What This Means for Canadian Patients

For Canadian patients experiencing a cerebral air embolism that causes a large vessel blockage, this case suggests that endovascular aspiration could be a rapid and effective treatment option. This approach may complement or be an alternative to traditional hyperbaric oxygen therapy, especially in acute stroke-like presentations.

Canadian Relevance

This study covers cerebral air embolism, which falls under the broader category of arterial gas embolism, a Health Canada-recognized indication for hyperbaric oxygen therapy.

Study Limitations

As a single case report, these findings cannot be generalized to all patients with cerebral air embolism.

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Study Details

Study Type Case Report
Category Decompression Sickness
Source Pubmed
PubMed ID 27435840
Year Published 2016
Journal BMJ Case Rep
MeSH Terms Aged; Angiography, Digital Subtraction; Cerebral Angiography; Embolism, Air; Endovascular Procedures; Humans; Intracranial Embolism; Male; Middle Cerebral Artery; Suction; Tomography, X-Ray Computed; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.