Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental?
Paradoxical cerebral emboli from cardiac and pulmonary sources are well described in the peer-reviewed literature. We outline a case with a hepatic etiology and describe diagnostic and management options. Though this paper represents the first documentation of such, we believe that transpulmonary sh...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/184192 |
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| _version_ | 1849307390094082048 |
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| author | Patrik Gabikian Melanie Walker Abhineet M. Chowdhary Arthur M. Lam Gavin W. Britz |
| author_facet | Patrik Gabikian Melanie Walker Abhineet M. Chowdhary Arthur M. Lam Gavin W. Britz |
| author_sort | Patrik Gabikian |
| collection | DOAJ |
| description | Paradoxical cerebral emboli from cardiac and pulmonary sources are well described in the peer-reviewed literature. We outline a case with a hepatic etiology and describe diagnostic and management options. Though this paper represents the first documentation of such, we believe that transpulmonary shunting with concurrent paradoxical cerebral microemboli is more prevalent than recognized. We introduce this case report to compel practitioners to consider paradoxical emboli in selected cirrhotic patients since it can often be difficult to elicit subtle neurologic changes on clinical examination of patients with end stage liver disease. |
| format | Article |
| id | doaj-art-294adc6e8b97496d8d9868dfd09d17a4 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-294adc6e8b97496d8d9868dfd09d17a42025-08-20T03:54:47ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/184192184192Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental?Patrik Gabikian0Melanie Walker1Abhineet M. Chowdhary2Arthur M. Lam3Gavin W. Britz4Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA 98104-2420, USADepartment of Neurological Surgery, University of Washington School of Medicine, Seattle, WA 98104-2420, USADepartment of Neurological Surgery, University of Washington School of Medicine, Seattle, WA 98104-2420, USADepartment of Anesthesiology, University of Washington School of Medicine, Seattle, WA 98104-2420, USADepartment of Neurological Surgery, University of Washington School of Medicine, Seattle, WA 98104-2420, USAParadoxical cerebral emboli from cardiac and pulmonary sources are well described in the peer-reviewed literature. We outline a case with a hepatic etiology and describe diagnostic and management options. Though this paper represents the first documentation of such, we believe that transpulmonary shunting with concurrent paradoxical cerebral microemboli is more prevalent than recognized. We introduce this case report to compel practitioners to consider paradoxical emboli in selected cirrhotic patients since it can often be difficult to elicit subtle neurologic changes on clinical examination of patients with end stage liver disease.http://dx.doi.org/10.1155/2009/184192 |
| spellingShingle | Patrik Gabikian Melanie Walker Abhineet M. Chowdhary Arthur M. Lam Gavin W. Britz Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental? Case Reports in Medicine |
| title | Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental? |
| title_full | Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental? |
| title_fullStr | Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental? |
| title_full_unstemmed | Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental? |
| title_short | Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental? |
| title_sort | paradoxical emboli secondary to hepatic pathology common or coincidental |
| url | http://dx.doi.org/10.1155/2009/184192 |
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