Christine E Gummerson, Melvin Parasram, Teng J Peng, John M Picard, Peter A Kahn, Evan Angelus, Shivani Bhatt, Adam de Havenon, Adam S Jasne, Jessica Magid-Bernstein
BACKGROUND: Cerebral air embolism is a rare cause of acute ischemic stroke that is becoming increasingly well-described in the literature. However, the mechanism and severity of this type of injury can vary, with ischemia typically emerging early in the course of care. To the best of our knowledge, delayed ischemia in this setting has not yet been described. CASE DESCRIPTION: A stroke code was called for an unresponsive, hospitalized, 75-year-old man. A computerized tomography (CT) scan of the head revealed air within the right greater than left hemispheric cortical veins with loss of sulcation, concerning for developing ischemia, and CT angiography revealed absent opacification of the distal cortical vessels in the right anterior cerebral artery and middle cerebral artery territories...
2023: Surgical Neurology International