Paradoxical brain embolism from vena caval filter in a patient with cancer

Ionita, Catalina and Giglio, Pierre and Isayev, Eugene and Alberico, Ronald and Pullicino, Patrick (2002) Paradoxical brain embolism from vena caval filter in a patient with cancer. Journal of Neuroimaging, 12 (1). pp. 69-71. ISSN 1051-2284. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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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.

Item Type: Article
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: 13 Jun 2014 10:23
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