Air in brain arteries - Forum

Dottore

Air in brain arteries - Ärzteforum

Post#1 »

This night a 23 y.o. man arrived in the emergency room for brain and some minor abdominal trauma, having not a regular respiration he get intubation on the street. A CT scan disclose a 5 cm. hematoma on the left frontal lobe and air in the brain arteries from both carotid to the smallest on the cortex, and no fractures at all. Now the patient is gong in the OR for drainage of the hematoma. Has anyone idea where the air may come from?


Poland

Re: Air in brain arteries - Ärzteforum

Post#2 »

Air in the brain arteries from both carotid to the smallest on the cortex seems to be a lethal complication, how is the patient doing after hematoma decompression?
possible origin:
1) false imaging, and the air is outside the arteries, what is seen after fractures of anterior cranial fossa.
2) any subclavian puncture at scene?

Pathologist

Re: Air in brain arteries - Ärzteforum

Post#3 »

I saw many patients with the air in the brain arteries after cardiac surgery. In your case one can speculate, that the patient may have ASD or PFO and during intubation and IV infusion of fluids, when peculiar pattern of RA-LA pressure gradient plus air in the IV system may have occured.

Dottore

Re: Air in brain arteries - Ärzteforum

Post#4 »

The patient now is quite well there has been some problem with subclavian access, this may be the real cause of the image.

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