Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

Cerebral Air Embolism in a Patient with a Tuberculous-Destroyed Lung during Commercial Air Travel: A Case Report

결핵성 파괴폐 환자의 비행기 여행 중 발생한 대뇌 공기 색전증: 1예

  • Jung, Hyun-Seok (Department of Radiology, Pusan Paik Hospital, Inje University School of Medicine) ;
  • Jeong, Hae-Woong (Department of Radiology, Pusan Paik Hospital, Inje University School of Medicine) ;
  • In, Hyun-Sin (Department of Radiology, Pusan Paik Hospital, Inje University School of Medicine)
  • 정현석 (인제대학교 의과대학 부산백병원 영상의학과학교실) ;
  • 정해웅 (인제대학교 의과대학 부산백병원 영상의학과학교실) ;
  • 인현신 (인제대학교 의과대학 부산백병원 영상의학과학교실)
  • Published : 2011.08.01
⟨ Previous Next ⟩

Abstract

A cerebral air embolism is a rare cause of stroke, but may occur in patients undergoing invasive cardiac and pulmonary procedures, as well as in divers suffering pulmonary barotrauma from rapid ascent. A cerebral air embolism due to other causes, especially a change of air pressure from air travel, is particularly rare. Here, we report a case of cerebral air embolism during commercial air travel in a patient with an tuberculous-destroyed lung.

대뇌 공기 색전증은 뇌경색의 드문 원인이다. 이러한 대뇌 공기 색전증의 흔한 원인은 심장과 폐에 대한 침습적 시술, 스쿠버 다이빙 중 빠른 해수면 상승에 의한 폐 압력 손상 등이 있다. 하지만 비행기 여행 등의 기압 변화에 의한 대뇌 공기 색전증 발생은 매우 드물며, 현재까지 7개의 증례가 보고 되었다. 이에 저자들은 결핵성 파괴폐 환자에서 비행기 여행 중 발생한 대뇌 공기 색전증을 경험하여, 이에 대한 증례 보고를 하는 바이다.

Keywords

References

  1. Zaugg M, Kaplan V, Widmer U, Baumann PC, Russi EW. Fatal air embolism in an airplane passenger with a giant intrapulmonary bronchogenic cyst. Am J Respir Crit Care Med 1998;157:1686-1689 https://doi.org/10.1164/ajrccm.157.5.9706040
  2. Edwardson M, Wurth D, Lacy JM, Fink J, Becker K. Cerebral air embolism resulting in fatal stroke in an airplane passenger with a pulmonary bronchogenic cyst. Neurocrit Care 2009;10:218-221 https://doi.org/10.1007/s12028-008-9126-3
  3. Almeida FA, Desouza BX, Meyer T, Gregory S, Greenspon L. Intrapulmonary bronchogenic cyst and cerebral gas embolism in an aircraft flight passenger. Chest 2006;130:575-577 https://doi.org/10.1378/chest.130.2.575
  4. Salameh J. A 62-year-old woman with cerebral artery air embolism during commercial air travel. Neurologist 2010;16:136-137 https://doi.org/10.1097/NRL.0b013e3181cf8695
  5. Closon M, Vivier E, Breynaert C, Duperret S, Branche P, Coulon A, et al. Air embolism during an aircraft flight in a passenger with a pulmonary cyst: a favorable outcome with hyperbaric therapy. Anesthesiology 2004;101:539-542 https://doi.org/10.1097/00000542-200408000-00037
  6. Neidhart P, Suter PM. Pulmonary bulla and sudden death in a young aeroplane passenger. Intensive Care Med 1985;11:45-47
  7. Almeida N, Schuller D. Cerebral air embolism resulting from an airplane flight. J Repi Dis 2007;28:304-308
  8. Oh JY, Park DW, Hahm CK, Park CK, Lee SR, Lee Y. A Cerebral air embolism that developed following defecation in a patient with extensive pulmonary tuberculosis: a case report. J Korean Soc Radiol 2010;63:307-310 https://doi.org/10.3348/jksr.2010.63.4.307
  9. Jeon SB, Kim JS, Lee DK, Kang DW, Kwon SU. Clinicoradio-logical characteristics of cerebral air embolism. Cerebrovasc Dis 2007;23:459-462 https://doi.org/10.1159/000101749
  10. Kang DW, Chalela JA, Ezzeddine MA, Warach S. Association of ischemic lesion patterns on early diffusion-weighted imaging with TOAST stroke subtypes. Arch Neurol 2003;60:1730-1734 https://doi.org/10.1001/archneur.60.12.1730
  11. Muth CM, Shank ES. Gas embolism. N Engl J Med 2000;342:476-482 https://doi.org/10.1056/NEJM200002173420706