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Stroke due to paradoxical embolism.

G B Frisoni1, V Di Monda, M Bariselli

  • 1Clinica Neurologica dell'Università di Brescia.

Italian Journal of Neurological Sciences
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

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A young girl experienced a stroke due to a paradoxical embolism, a condition where a blood clot travels from the venous to the arterial system. This case highlights the importance of contrast echocardiography in diagnosing such events.

Area of Science:

  • Cardiology
  • Neurology
  • Vascular Medicine

Background:

  • Deep vein thrombosis (DVT) and pulmonary embolism (PE) can lead to paradoxical embolism.
  • Patent foramen ovale (PFO) is a potential pathway for paradoxical embolism.
  • Cerebrovascular accidents (stroke) in young individuals warrant thorough etiological investigation.

Observation:

  • A young female patient presented with acute upper limb ischemia and stroke.
  • Clinically asymptomatic DVT and PE were identified as preceding events.
  • Diagnosis of paradoxical embolism through a PFO was established using clinical assessment and contrast echocardiography.

Findings:

  • Contrast echocardiography proved crucial in diagnosing the PFO-associated paradoxical embolism.
  • The patient's presentation underscores the link between venous thromboembolism and arterial stroke.

Related Experiment Videos

  • Asymptomatic venous thromboembolism can precipitate paradoxical embolism.

    • Implications:

    • This case suggests paradoxical embolism may be an underdiagnosed cause of stroke in young patients.
    • Early diagnosis and management of PFO-related paradoxical embolism are critical.
    • Enhanced vigilance for paradoxical embolism in patients with unexplained stroke and venous thromboembolism is recommended.