Cerebral air embolism (CAE)

Evidence-based neurology checklist on cerebral air embolism (cae): Iatrogenic causes Central venous catheters Neurosurgery Lung biopsy Chest tube insertion Endoscopy Colonoscopy Endoscopic retrograde cholangiopancreatography (ERCP) Varicose venous sclerotherapy Removal of internal jugular vein…

Iatrogenic causes

  • Central venous catheters
  • Neurosurgery
  • Lung biopsy
  • Chest tube insertion
  • Endoscopy
  • Colonoscopy
  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Varicose venous sclerotherapy
  • Removal of internal jugular vein catheter
  • Iatrogenic atrial-esophageal fiustula
  • Endoscopic variceal ligation
  • Haemodialysis
  • Hydrogen peroxide washout

Non-iatrogenic causes

Systemic features

Neurological features

Magnetic resonance imaging (MRI) brain: features

Treatment

Other causes of non-tissue embolic stroke

References

  1. Judge C, Mello S, Bradley D, Harbison J. A systematic review of the causes and management of ischaemic stroke caused by nontissue emboli. Stroke Res Treat 2017; 2017:7565702.
  2. Kau T, Rabitsch E, Celedin S, Habernig SM, Weber JR, Hausegger KA. When coughing can cause stroke - a case-based update on cerebral air embolism complicating biopsy of the lung. Cardiovasc Intervent Radiol 2008; 31:848-853.
  3. Alkhankan E, Nusair A, Mazagri R, Al-Ourani M. Systemic air embolism associated with pleural pigtail chest tube insertion. Case Rep Pulmonol 2016 ;2016:4053748.
  4. Oatis K, Agarwal A, Bruce-Tagoe C. Acute stroke from air embolism to the middle cerebral artery following upper gastrointestinal endoscopy. Radiol Case Rep 2015; 5:359.
  5. Trabanco S, Pardo S, Williams M, Diaz J, Ruiz C. Cerebral air embolism after ERCP. J Clin Anesth 2017; 36:133-135.
  6. And 11 more. Subscribe to see the full list

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