Paradoxical cerebral embolism caused by pulmonary arteriovenous fistula: a case report
10.3760/cma.j.issn.1006-7876.2019.07.008
- VernacularTitle:肺动静脉瘘致反常脑栓塞一例
- Author:
Tingting LI
1
;
Liping WEI
;
Xiaolin GU
;
Qinde QI
Author Information
1. 济南市人民医院神经内科 271100
- Keywords:
Arteriovenous fistula;
Lung;
Intracranial embolism;
Embolism,paradoxical
- From:
Chinese Journal of Neurology
2019;52(7):562-565
- CountryChina
- Language:Chinese
-
Abstract:
A young female patient with paradoxical cerebral embolism caused by pulmonary arteriovenous fistula,mainly presented the right limbs asthenia,and brain magnetic resonance imaging examination showed multiple acute cerebral infarctions in the left hemisphere,which belongs to left middle cerebral artery and left posterior cerebral artery blood areas.After excluding the common risk factors of cerebrovascular disease,foaming test suggested the right-to-left shunt.The esophageal ultrasound examination excluded the patent foramen ovala.The lung CT angiography examination confirmed the intracranial embolism caused by pulmonary arteriovenous fistula.There was no recurrence of ischemic stroke after the patient was treated with pulmonary arteriovenous fistula embolization.
