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Cerebral Air Embolism After Endoscopy: A Case Report.
James Whall1, Eli Besser1, Jaymes Lonzanida1
1Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California.
Clinical Practice and Cases in Emergency Medicine
|March 28, 2024
Summary
Cerebral air embolism, a rare vascular event, can occur after endoscopic procedures. This case highlights the importance of considering air embolism in patients with acute neurological changes post-endoscopy.
Area of Science:
- Neurology
- Vascular Medicine
- Gastroenterology
Background:
- Cerebral air embolism is a rare but serious condition involving air entering the vascular system.
- While often linked to intravascular catheters, it can stem from diverse causes, including endoscopic interventions.
Purpose of the Study:
- To report a case of cerebral air embolism following an esophagogastroduodenoscopy.
- To emphasize the diagnostic considerations for neurological deficits after endoscopic procedures.
Main Methods:
- A case report of a 90-year-old female patient.
- Review of clinical presentation and diagnostic considerations.
Main Results:
- The patient experienced focal neurologic deficits.
- The deficits were attributed to a cerebral air embolism occurring post-esophagogastroduodenoscopy.
Conclusions:
- Cerebral air embolism is a critical differential diagnosis in patients presenting with acute neurological changes.
- Endoscopic procedures represent a potential, albeit uncommon, etiology for cerebral air embolism.
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