Journal article
Paradoxical cerebral embolism: eight cases
Neurology, Vol.36(10), pp.1356-1360
1986
DOI: 10.1212/WNL.36.10.1356
PMID: 3762944
Abstract
We evaluated eight patients with possible or probable paradoxical cerebral embolism. One patient had a hemispheric transient ischemic attack; the others had infarcts. Ischemic symptoms followed a Valsalva's maneuver in three cases. Others were linked to placement of a Swan-Ganz catheter, deep venous thrombosis and pulmonary embolism, right atrial myxoma, and use of oral contraceptives. Four had no known predisposing conditions. In six patients, contrast echocardiography showed right-to-left shunting. Cardiac catheterization showed a patent foramen ovale in three patients; one had an atrial septal defect. In the clinical setting of otherwise unexplained cerebral embolism in a young patient, paradoxical cerebral embolism should be considered. Contrast echocardiography is a useful screening test for this purpose.
Details
- Title: Subtitle
- Paradoxical cerebral embolism: eight cases
- Creators
- Jose Biller - Univ. Iowa, coll. medicine, Iowa City IA 52242, United StatesH P Adams Jr - Univ. Iowa, coll. medicine, Iowa City IA 52242, United StatesMaryl R Johnson - Univ. Iowa, coll. medicine, Iowa City IA 52242, United StatesRichard E Kerber - Univ. Iowa, coll. medicine, Iowa City IA 52242, United StatesGilbert J Toffol - Univ. Iowa, coll. medicine, Iowa City IA 52242, United States
- Resource Type
- Journal article
- Publication Details
- Neurology, Vol.36(10), pp.1356-1360
- Publisher
- Lippincott Williams & Wilkins; Hagerstown, MD
- DOI
- 10.1212/WNL.36.10.1356
- PMID
- 3762944
- ISSN
- 0028-3878
- eISSN
- 1526-632X
- Language
- English
- Date published
- 1986
- Academic Unit
- Neurology; Iowa Neuroscience Institute
- Record Identifier
- 9984020851102771
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