Normal diffusion-weighted imaging in cerebral air embolism complicating angiography.
We report a case of cerebral air embolism resulting from accidental air infection during cerebral angiography. A 60-year-old man was accidentally injected with air via the left subclavian artery. Angiography demonstrated air within the basilar artery. The patient showed signs of posterior circulation ischaemia (confusion, blindness, gaze palsy and hemiparesis). However, MRI, including diffusion-weighted imaging, showed no abnormality 4 h later. The patient was treated with hyperbaric oxygen within 5 h of the embolism. All symptoms and signs resolved completely within a week.
Sayama
T
T
Department of Neurosurgery, Kyushu University Hospital, Fukuoka, Japan.
Mitani
M
M
Inamura
T
T
Yagi
H
H
Fukui
M
M
D001921:Brain / Q000473:pathology*; D002533:Cerebral Angiography / Q000009:adverse effects*; D017352:Echo-Planar Imaging; D004618:Embolism, Air / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D020766:Intracranial Embolism / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged