Ionita, C. and Giglio, P. and Isayev, E. and Alberico, R. and Pullicino, P. (2002) Paradoxical brain embolism from vena caval filter in a patient with cancer. Journal of Neuroimaging, 12 (1). pp. 69-71. ISSN 1051-2284.
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A 71-year-old man experienced sudden onset of hemiparesis and aphasia. He had a 4-month history of gallbladder cholangiocarcinoma, complicated with a postoperative deep-vein thrombosis (DVT) that necessitated a vena caval filter placement. Diffusion-weighted magnetic resonance imaging of the brain showed multiple hyperintense foci. Magnetic resonance spectroscopy was compatible with cerebral infarction. Abdominal computed tomography showed a thrombus in the inferior vena cava extending through the filters, A transcranial Doppler bubble study revealed the presence of a right-to-left shunt. Paradoxical cerebral embolism must be considered in patients with DVT who have new onset neurologic deficits even in the presence of a caval filter.
|Uncontrolled keywords:||Author Keywords: cancer; intracaval filter; right-to-left shunt; paradoxical emboli; transcranial Doppler; bubble study|
|Subjects:||R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry|
|Divisions:||Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)|
|Depositing User:||M.P. Stone|
|Date Deposited:||24 Sep 2008 13:43|
|Last Modified:||24 Sep 2008 13:43|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/12136 (The current URI for this page, for reference purposes)|
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