title: Paradoxical brain embolism as a cause of central retinal artery occlusion: a case report.
abstract: A 79-year-old right-handed woman was admitted to hospital following sudden onset of severe visual loss in the left eye. Left central retinal artery occlusion (CRAO) was diagnosed. Diffusion-weighted imaging showed an asymptomatic hyperintensity in left middle cerebral artery territory. Transcranial Doppler and transesophageal echocardiography revealed patent foramen ovale. No other embolic sources were identified in the carotid artery, aortic arch, or heart. We report herein a case of CRAO caused by paradoxical brain embolism.
authors.affiliation: Department of Stroke Medicine, Stroke Center, Kawasaki Medical School, Kurashiki-city, Okayama, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Hayashi
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Iguchi
authors.forename: Kazumi
authors.initials: K
authors.lastname: Kimura
authors.forename: Kensaku
authors.initials: K
authors.lastname: Shibazaki
authors.forename: Kazuto
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Inoue
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D002533:Cerebral Angiography; D003287:Contrast Media; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D004562:Electrocardiography; D019320:Embolism, Paradoxical / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D017585:Ultrasonography, Doppler, Transcranial; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D003287:Contrast Media; D014859:Warfarin