Subclinical to catastrophic: a range of outcomes in cerebral air embolism.
E G WhiteH A HayesP ClarkF J CloranPublished in: Emergency radiology (2023)
Cerebral air embolism (CAE) is a rare, yet potentially devastating condition characterized by entrance of air into cerebral vasculature, that is nearly always iatrogenic. While many findings of CAE are subclinical and incidental at computed tomography (CT), there remain cases of catastrophic and fatal embolisms. Increasing physician awareness of prevention, presentation, and treatment for CAE is crucial for reducing morbidity and mortality. In this case series, we highlight this preventable entity by comparing three cases of CAE that showcase a diverse array of presentations, radiologic findings, and clinical outcomes. We will also explore predisposing factors, prognostic predictors, diagnostic considerations, and available treatments.
Keyphrases
- computed tomography
- subarachnoid hemorrhage
- positron emission tomography
- dual energy
- cerebral ischemia
- image quality
- contrast enhanced
- primary care
- emergency department
- magnetic resonance imaging
- brain injury
- cerebral blood flow
- high throughput
- type diabetes
- high resolution
- magnetic resonance
- adipose tissue
- metabolic syndrome
- case report
- adverse drug
- mass spectrometry