Cerebral Gas Embolism Caused by Pleural Fibrinolytic Treatment | Zendy

Manuel MenéndezGonzález | Zendy; Pedro OlivaNacarino | Zendy; Almudena Álvarez-Cofiño | Zendy

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Cerebral Gas Embolism Caused by Pleural Fibrinolytic Treatment

Author(s) -

Manuel MenéndezGonzález,

Pedro OlivaNacarino,

Almudena Álvarez-Cofiño

Publication year - 2007

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.106.477752

Subject(s) - medicine , air embolism , complication , context (archaeology) , embolism , pleural effusion , streptokinase , surgery , fibrinolytic agent , pulmonary embolism , anesthesia , radiology , cardiology , tissue plasminogen activator , paleontology , myocardial infarction , biology

Intrapleural fibrinolytic therapy is a technique used to treat empyemas and parapneumonic effusions. Cerebral air embolism is an unusual potentially severe complication of this technique. Summary of Case- A patient with parapneumonic pleural effusion underwent pleural lavage with streptokinase when he suddenly demonstrated focal neurological signs and seizures. The CT revealed multiple air-isodense spots in right hemisphere of the brain, suggesting cerebral air embolism. As a result of early diagnosis and emergency hyperbaric oxygenation, the patient recovered without delayed sequelae.

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