Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation

Dong Hyuk Park; Yong Gu Chung; Shin Hyuk Kang; Jung Yul Park; Youn Kwan Park; Hoon Kap Lee

doi:10.1016/j.clineuro.2007.06.006

Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation

Dong Hyuk Park, Yong Gu Chung, Shin Hyuk Kang, Jung Yul Park, Youn Kwan Park, Hoon Kap Lee

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

We report the case of a 48-year-old male with iatrogenic arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage. The patient inadvertently received continuous positive pressure ventilation without exhalation for a few minutes, resulting in pneumothorax, interstitial emphysema, pneumoperitoneum, and arterial cerebral air embolism at the site of the intracerebral hemorrhage. This is the first report of pneumocephalus without head trauma or previous surgery in which the air embolism occurs at the site of a spontaneous intracerebral hemorrhage. We hypothesize that air preferentially leaked into the brain parenchyma through the weakened perforating pontine artery that caused the intracerebral bleeding.

Original language	English
Pages (from-to)	803-805
Number of pages	3
Journal	Clinical Neurology and Neurosurgery
Volume	109
Issue number	9
DOIs	https://doi.org/10.1016/j.clineuro.2007.06.006
Publication status	Published - 2007 Nov

Keywords

Cerebral air embolism
Continuous positive airway pressure
Pneumocephalus
Pontine hemorrhage

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/j.clineuro.2007.06.006

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title = "Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation",

abstract = "We report the case of a 48-year-old male with iatrogenic arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage. The patient inadvertently received continuous positive pressure ventilation without exhalation for a few minutes, resulting in pneumothorax, interstitial emphysema, pneumoperitoneum, and arterial cerebral air embolism at the site of the intracerebral hemorrhage. This is the first report of pneumocephalus without head trauma or previous surgery in which the air embolism occurs at the site of a spontaneous intracerebral hemorrhage. We hypothesize that air preferentially leaked into the brain parenchyma through the weakened perforating pontine artery that caused the intracerebral bleeding.",

keywords = "Cerebral air embolism, Continuous positive airway pressure, Pneumocephalus, Pontine hemorrhage",

author = "Park, {Dong Hyuk} and Chung, {Yong Gu} and Kang, {Shin Hyuk} and Park, {Jung Yul} and Park, {Youn Kwan} and Lee, {Hoon Kap}",

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T1 - Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation

AU - Park, Dong Hyuk

AU - Chung, Yong Gu

AU - Kang, Shin Hyuk

AU - Park, Jung Yul

AU - Park, Youn Kwan

AU - Lee, Hoon Kap

PY - 2007/11

Y1 - 2007/11

N2 - We report the case of a 48-year-old male with iatrogenic arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage. The patient inadvertently received continuous positive pressure ventilation without exhalation for a few minutes, resulting in pneumothorax, interstitial emphysema, pneumoperitoneum, and arterial cerebral air embolism at the site of the intracerebral hemorrhage. This is the first report of pneumocephalus without head trauma or previous surgery in which the air embolism occurs at the site of a spontaneous intracerebral hemorrhage. We hypothesize that air preferentially leaked into the brain parenchyma through the weakened perforating pontine artery that caused the intracerebral bleeding.

AB - We report the case of a 48-year-old male with iatrogenic arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage. The patient inadvertently received continuous positive pressure ventilation without exhalation for a few minutes, resulting in pneumothorax, interstitial emphysema, pneumoperitoneum, and arterial cerebral air embolism at the site of the intracerebral hemorrhage. This is the first report of pneumocephalus without head trauma or previous surgery in which the air embolism occurs at the site of a spontaneous intracerebral hemorrhage. We hypothesize that air preferentially leaked into the brain parenchyma through the weakened perforating pontine artery that caused the intracerebral bleeding.

KW - Cerebral air embolism

KW - Continuous positive airway pressure

KW - Pneumocephalus

KW - Pontine hemorrhage

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ER -

Arterial cerebral air embolism at the site of a spontaneous pontine hemorrhage in a patient receiving erroneous continuous positive pressure ventilation

Abstract

Keywords

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