title: A case report of cerebral air embolism after esophagogastroduodenoscopy: diagnosis and management in the emergency department.
abstract: BACKGROUND
  Esophagogastroduodenoscopy (EGD) is a rare cause of cerebral air embolism (CAE). To our knowledge, there are only eight previously reported such cases in the history of the procedure.
  
  
  OBJECTIVE
  To identify clinical causes of CAE that can present to the emergency department (ED) and to understand the appropriate management of CAE.
  
  
  METHODS
  A 71-year-old man presented with new-onset left-sided hemiparesis and dysarthria 2h after undergoing an outpatient EGD. The patient was diagnosed with CAE in the ED after undergoing a computed tomography scan of the brain without contrast.
  
  
  CONCLUSIONS
  The diagnosis of CAE is based on a thorough history and obtaining urgent radiographic imaging of the brain. The definitive treatment of CAE involves hyperbaric oxygen.
authors.affiliation: Department of Emergency Medicine, St. John Hospital and Medical Center, Detroit, Michigan, USA.
authors.forename: Ananda V
authors.initials: AV
authors.lastname: Pandurangadu
authors.forename: Jose A P
authors.initials: JA
authors.lastname: Paul
authors.forename: Mohammed
authors.initials: M
authors.lastname: Barawi
authors.forename: Charlene B
authors.initials: CB
authors.lastname: Irvin
mesh_terms: D000368:Aged; D004618:Embolism, Air / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004636:Emergency Service, Hospital; D016145:Endoscopy, Digestive System / Q000009:adverse effects*; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male