Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation

Dong Hyuk Park, Yong Gu Chung, Shin Hyuk Kang, Jung Yul Park, Youn Kwan Park, Hoon Kap Lee

    Research output: Contribution to journalArticlepeer-review

    5 Citations (Scopus)

    Abstract

    We report the case of a 48-year-old male with iatrogenic arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage. The patient inadvertently received continuous positive pressure ventilation without exhalation for a few minutes, resulting in pneumothorax, interstitial emphysema, pneumoperitoneum, and arterial cerebral air embolism at the site of the intracerebral hemorrhage. This is the first report of pneumocephalus without head trauma or previous surgery in which the air embolism occurs at the site of a spontaneous intracerebral hemorrhage. We hypothesize that air preferentially leaked into the brain parenchyma through the weakened perforating pontine artery that caused the intracerebral bleeding.

    Original languageEnglish
    Pages (from-to)803-805
    Number of pages3
    JournalClinical Neurology and Neurosurgery
    Volume109
    Issue number9
    DOIs
    Publication statusPublished - 2007 Nov

    Keywords

    • Cerebral air embolism
    • Continuous positive airway pressure
    • Pneumocephalus
    • Pontine hemorrhage

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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