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Updated: Jun 25, 2026

Cerebral Ischemic Coma Model Induced by Modified Four-Vessel Occlusion
Published on: July 5, 2024
[Case report: cerebral ischemia--a routine emergency case?]
1Department of Anaesthesiology, Ernst-Moritz-Arndt-University, Greifswald, Germany. Ulrich.Blumenthal@uni-greifswald.de
Abstract:
We report the case of a 77-year-old man, who presented with seemingly clear cerebral ischemia. During transport a short-term inexplicable decline of oxygen saturation occurred. In-hospital diagnosis showed not only a thrombosis of A. basilaris but also pulmonary embolism with a venous thrombosis of the lower leg. The thrombosis of A. basilaris itself represents a form of paradoxical embolism with persistent patent foramen ovale. Even with a seemingly obvious diagnosis less obvious diagnoses also have to be considered.
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