间质性肺病的罕见并发症--自发性脑空气栓塞引发的缺血性脑卒中

Q3 Medicine
European journal of case reports in internal medicine Pub Date : 2024-08-27 eCollection Date: 2024-01-01 DOI:10.12890/2024_004356
Serena Yi Ling Tan, Jian Ping Jen, Kayvan Khadjooi
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引用次数: 0

摘要

空气栓塞是缺血性中风的罕见病因。众所周知,空气可通过支气管静脉瘘从肺静脉循环进入脑动脉循环,或在深海潜水中发生肺气压创伤时进入脑动脉循环。我们描述了一例以晚期间质性肺病(ILD)为背景的自发性脑空气栓塞病例。据我们所知,本病例展示了 ILD 患者中风的一种机制,而这在以前的病例中从未有过描述:本病例显示了严重间质性肺病(ILD)患者发生卒中的机制,而这一机制此前从未被描述过。我们建议,在晚期间质性肺病病例中,临床医生应将其视为卒中的可能机制。对这些患者的处理应包括将其转入高压氧治疗设施,以防止进一步的空气栓塞。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ischaemic Strokes Caused by Spontaneous Cerebral Air Embolism, A Rare Complication of Interstitial Lung Disease.

Air embolism is a rare cause of ischaemic stroke. It is known that air can enter the cerebral arterial circulation from pulmonary venous circulation through a bronchovenous fistula, or in cases of pulmonary barotrauma in deep-sea diving. We describe a case of spontaneous cerebral air embolism against a background of advanced interstitial lung disease (ILD). To our knowledge, this case demonstrates a mechanism of stroke in ILD patients that has not been previously described.

Learning points: This case demonstrates a mechanism of stroke in patients with severe interstitial lung disease (ILD) that has not been previously described, and we suggest that in cases of advanced ILD, clinicians should consider this as a possible mechanism of stroke. The management of these patients should include transferring them to hyperbaric facilities to prevent further air emboli.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
166
审稿时长
8 weeks
期刊介绍: The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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