Publicação:
Bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunt

dc.contributor.authorZanati Bazan, Silméia Garcia [UNESP]
dc.contributor.authorBraga, Gabriel Pereira [UNESP]
dc.contributor.authorLuvizutto, Gustavo José [UNESP]
dc.contributor.authorTrindade, André Petean [UNESP]
dc.contributor.authorPontes-Neto, Octávio Marques [UNESP]
dc.contributor.authorBazan, Rodrigo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-12-11T17:02:23Z
dc.date.available2018-12-11T17:02:23Z
dc.date.issued2016-06-01
dc.description.abstractWe report a case of a bihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive pulmonary arteriovenous fistula. The echocardiogram showed no intracardiac shunt, and the transcranial Doppler (TCD) revealed spontaneous microembolic signals in the middle cerebral arteries (MCAs), and late passage of a higher number of microembolic signals in the MCAs, compatible with right-to-left shunt (RLS). The TCD and the echocardiogram were useful for identifying the RLS when rapid neurological deterioration occurred.en
dc.description.affiliationDepartment of Internal Medicine Botucatu Medical School-UNESP São Paulo State University
dc.description.affiliationDepartment of Neurology Botucatu Medical School-UNESP São Paulo State University
dc.description.affiliationDepartment of Tropical Diseases and Diagnostic Imaging Botucatu Medical School-UNESP São Paulo State University
dc.description.affiliationDepartment of Neuroscience and Behavior Ribeirão Preto Medical School-USP São Paulo State University
dc.description.affiliationUnespDepartment of Internal Medicine Botucatu Medical School-UNESP São Paulo State University
dc.description.affiliationUnespDepartment of Neurology Botucatu Medical School-UNESP São Paulo State University
dc.description.affiliationUnespDepartment of Tropical Diseases and Diagnostic Imaging Botucatu Medical School-UNESP São Paulo State University
dc.description.affiliationUnespDepartment of Neuroscience and Behavior Ribeirão Preto Medical School-USP São Paulo State University
dc.format.extente95-e97
dc.identifierhttp://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.03.038
dc.identifier.citationJournal of Stroke and Cerebrovascular Diseases, v. 25, n. 6, p. e95-e97, 2016.
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2016.03.038
dc.identifier.file2-s2.0-84963808201.pdf
dc.identifier.issn1532-8511
dc.identifier.issn1052-3057
dc.identifier.scopus2-s2.0-84963808201
dc.identifier.urihttp://hdl.handle.net/11449/172841
dc.language.isoeng
dc.relation.ispartofJournal of Stroke and Cerebrovascular Diseases
dc.relation.ispartofsjr0,732
dc.relation.ispartofsjr0,732
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectechocardiogram
dc.subjectparadoxical embolism
dc.subjectStroke
dc.subjecttranscranial Doppler
dc.titleBihemispheric paradoxical cerebral embolism in a patient with pulmonary thromboembolism and presumptive fistula right-to-left shunten
dc.typeArtigo
dspace.entity.typePublication
unesp.author.lattes3468567007064752[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentClínica Médica - FMBpt
unesp.departmentDoenças Tropicais e Diagnósticos por Imagem - FMBpt
unesp.departmentNeurologia, Psicologia e Psiquiatria - FMBpt

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