[Case report: cerebral ischemia--a routine emergency case?].
We report the case of a 77-year-old man, who presented with seemingly clear cerebral ischemia. During transport a short-term inexplicable decline of oxygen saturation occurred. In-hospital diagnosis showed not only a thrombosis of A. basilaris but also pulmonary embolism with a venous thrombosis of the lower leg. The thrombosis of A. basilaris itself represents a form of paradoxical embolism with persistent patent foramen ovale. Even with a seemingly obvious diagnosis less obvious diagnoses also have to be considered.
Blumenthal
Ulrich
U
Department of Anaesthesiology, Ernst-Moritz-Arndt-University, Greifswald, Germany. Ulrich.Blumenthal@uni-greifswald.de
D000368:Aged; D002545:Brain Ischemia / Q000209:etiology*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D004562:Electrocardiography; D004630:Emergencies; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis*; D020766:Intracranial Embolism / Q000175:diagnosis*; D007866:Leg / Q000098:blood supply; D008297:Male; D011655:Pulmonary Embolism / Q000175:diagnosis*; D014187:Transportation of Patients; D020246:Venous Thrombosis / Q000175:diagnosis