title: [Chest trouble and hemiparesis. A paradoxical emergency?].
abstract: The case of a young female patient with progressive chest trouble and dyspnea is reported. After development of a massive cerebral infarction, thrombolysis and afterwards decompressive craniectomy had to be performed. A patent foramen ovale (PFO) could be detected by transesophageal contrast-echocardiography accountable for a paradox embolism in existence with a deep vein thrombosis. The patient survived this situation but sustained persistent hemiparesis.
authors.affiliation: Klinik für Anästhesiologie,operative Intensivmedizinund Schmerztherapie am Krankenhaus Düren. andreas.hohn@krankenhaus-dueren.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Hohn
authors.forename: Jerome M
authors.initials: JM
authors.lastname: Defosse
authors.forename: Hans-Jörg
authors.initials: HJ
authors.lastname: Berger
authors.forename: Dirk
authors.initials: D
authors.lastname: Knüttgen
authors.forename: Frank
authors.initials: F
authors.lastname: Wappler
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002637:Chest Pain / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D019320:Embolism, Paradoxical / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D010291:Paresis / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D011655:Pulmonary Embolism / Q000209:etiology / Q000628:therapy; D013902:Radiography, Thoracic; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants