title: Multiple brain gas embolism after ingestion of concentrated hydrogen peroxide.
abstract: We present a 63-year-old man who developed multiple brain infarction after ingesting a 35% hydrogen peroxide solution. Neurologic examination revealed left hemiparesis, primarily affecting the lower limb, and mild weakness of the right lower limb. Gadolinium-enhanced MRI revealed patchy bilateral brain lesions. Oxygen gas embolization is the likely cause of the brain infarctions.
authors.affiliation: Division of Neurology, Nantan General Hospital, Kyoto, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ijichi
authors.forename: T
authors.initials: T
authors.lastname: Itoh
authors.forename: R
authors.initials: R
authors.lastname: Sakai
authors.forename: K
authors.initials: K
authors.lastname: Nakaji
authors.forename: T
authors.initials: T
authors.lastname: Miyauchi
authors.forename: R
authors.initials: R
authors.lastname: Takahashi
authors.forename: S
authors.initials: S
authors.lastname: Kadosaka
authors.forename: M
authors.initials: M
authors.lastname: Hirata
authors.forename: S
authors.initials: S
authors.lastname: Yoneda
authors.forename: Y
authors.initials: Y
authors.lastname: Kajita
authors.forename: Y
authors.initials: Y
authors.lastname: Fujita
mesh_terms: D000059:Accidents; D001921:Brain / Q000473:pathology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology; D004326:Drinking; D004618:Embolism, Air / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis; D005682:Gadolinium; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D006861:Hydrogen Peroxide / Q000506:poisoning*; D002542:Intracranial Embolism and Thrombosis / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009994:Osmolar Concentration; D013902:Radiography, Thoracic
chemical_list: D005682:Gadolinium; D006861:Hydrogen Peroxide