Cerebral venous air embolism
treated with hyperbaric oxygen: a case report
Abstract/OtherAbstract:
We present
a case of cerebral venous gas embolism. Our patient made a complete
neurological recovery after hyperbaric oxygen therapy (HBOT). The principles of
HBOT, compressing and eliminating air bubbles and decreasing Β-2 integrin
function, thus improving microcirculation, can only be beneficial in a
situation where neurological damage is likely. Retrograde cerebral venous gas
embolism is a less well recognised variant of gas embolism than the arterial
variant. Its existence as a different entity is better recognised in the
forensic medicine and radiology literature than in other disciplines. There is
evidence in the literature of patients dying from this complication and others
seemingly experiencing very little effect. This case report highlights this
condition, to encourage others to look out for it and report outcomes, and to
serve as a reminder that peripheral lines may be a potential cause of gas
embolism, although the portal of air entry in our case remains uncertain.
Authors:
Pieter A Bothma; Andreas E Brodbeck;
Bruce A Smith
Publication Detail:
Type: Journal Article
Journal Detail:
Title: Diving and hyperbaric
medicine : the journal of the South Pacific Underwater Medicine Society
Volume: 42 ISSN: 1833-3516
ISO Abbreviation: Diving Hyperb Med
Publication Date: 2012 Jun
Date Detail:
Created Date: 2012-07-25
Completed Date: - Revised
Date: -
Medline Journal Info:
Nlm Unique ID: 101282742
Medline TA: Diving Hyperb Med Country:
Australia
Other Details:
Languages: eng
Pagination: 101-3 Citation
Subset: IM
Affiliation:
Consultant
in the Department of Anaesthesia, Intensive Care and Hyperbaric Medicine, James
Paget University Hospitals NHS Foundation Trust, Lowestoft Road, Gorleston,
Norfolk, NR31 6LA, United Kingdom, Phone: +44-(0)1493-452-452, Fax:
+44-(0)1493-452-753, E-mail: pabothma@dsl.pipex.com.
Ditayangkan
ulang olh dr.Erick Supondha (Hyperbaric&Diving Medicine Consultant) Jakarta
Indonesia, hyperbaric&diving medicine hotline 021 99070050.
www.indodivinghealth.com
