スダ　サトシ   SUDA Satoshi   須田　智    所属   埼玉医科大学  医学部 国際医療センター　神経内科・脳卒中内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	An Unusual Cerebral Air Embolism Developing within the Posterior Circulation Territory after a Needle Lung Biopsy
掲載誌名	正式名：INTERNAL MEDICINE ISSNコード：0918-2918
出版社	JAPAN SOC INTERNAL MEDICINE
巻・号・頁	52(1),115-117頁
著者・共著者	Kentaro Suzuki,Masayuki Ueda,Kanako Muraga,Arata Abe,Satoshi Suda,Seiji Okubo,Yasuo Katayama
発行年月	2013
概要	We herein report the case of a 75-year-old woman with a paradoxical cerebral air embolism (CAE). She developed a bilateral visual disturbance at the time of needle puncture during a computed tomography (CT)-guided percutaneous needle lung biopsy in the face down position. The air density within the descending aorta on chest CT suggested the presence of a cerebral air embolism. Brain MRI demonstrated increased signal intensity in the bilateral occipital lobes on diffusion-weighted images. Usually, CAE occurs predominantly in the right hemisphere for anatomical reasons. The face down position and the anatomical features of the right subclavian artery, which diverges backward from the brachiocephalic artery, might explain such a unique distribution of CAE in this patient.
DOI	10.2169/internalmedicine.52.8760
PMID	23291685