PDF(Pubmed)
Abstract：
Cerebral arterial air embolism (CAE), a rare subtype of air embolism, carries a 21% mortality rate. We present a unique case involving a 69-year-old female with a history of usual interstitial pneumonia (UIP) who suffered a transient ischemic attack (TIA) due to CAE. Unlike typical cases, CAE in this instance resulted from spontaneous pneumothorax, not the more common iatrogenic causes. Adding complexity, an unexpected discovery emerged during evaluation: a patent foramen ovale, contributing to paradoxical embolism. This underscores the vital need to consider CAE as a differential diagnosis in UIP patients with neurological symptoms, highlighting its rarity and diagnostic challenges.
摘要：
脑动脉空气栓塞(CAE),一种罕见的空气栓塞亚型,死亡率为21%。我们提出了一个独特的病例，涉及一名69岁的女性，有普通的间质性肺炎（UIP）病史，由于CAE而遭受短暂性脑缺血发作（TIA）。与典型案例不同,在这种情况下，CAE是由自发性气胸引起的，不是更常见的医源性原因。增加复杂性，在评估过程中出现了一个意想不到的发现:卵圆孔未闭，导致矛盾的栓塞。这强调了将CAE作为具有神经症状的UIP患者的鉴别诊断的必要性。强调其稀有性和诊断挑战。
