Venous air embolism may occur when the surgical ®eld is above the level of the heart. We present a case of venous air embolism in a patient undergoing percutaneous nephrolithotripsy in the prone position and presenting with blindness and neurological de®cits 8 h later. The clinical diagnosis of paradoxical air embolism was con®rmed by early single-photon emission tomography (SPET), whereas magnetic resonance imaging including diffusion-weighted imaging (DWMRI) was diagnostic only 30 h later. Hyperbaric oxygen therapy was successful. In this case, early DW-MRI scan was inconclusive, but a SPET study of the brain appeared to be useful in con®rming the clinical diagnosis. Early hyperbaric oxygen was demonstrated to be a successful therapy.

Air embolism: diagnosis with single-photon emission tomography and successful hyperbaric oxygen therapy

GIGANTI, Melchiore;
2002

Abstract

Venous air embolism may occur when the surgical ®eld is above the level of the heart. We present a case of venous air embolism in a patient undergoing percutaneous nephrolithotripsy in the prone position and presenting with blindness and neurological de®cits 8 h later. The clinical diagnosis of paradoxical air embolism was con®rmed by early single-photon emission tomography (SPET), whereas magnetic resonance imaging including diffusion-weighted imaging (DWMRI) was diagnostic only 30 h later. Hyperbaric oxygen therapy was successful. In this case, early DW-MRI scan was inconclusive, but a SPET study of the brain appeared to be useful in con®rming the clinical diagnosis. Early hyperbaric oxygen was demonstrated to be a successful therapy.
L., Droghetti; Giganti, Melchiore; A., Memmo; R., Zatelli
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/1736694
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 34
  • ???jsp.display-item.citation.isi??? 25
social impact