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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Allevi, Fabiana Rabbiosi, Dimitri Mandalà, Marco Colletti, Giacomo |
| Description | Author Affiliation: Allevi F ( Department of Maxillofacial Surgery, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy.); Rabbiosi D ( Department of Maxillofacial Surgery, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy.); Mandalà M ( Department of Otolaryngology, Borgo Roma Hospital, Verona, Italy.); Colletti G ( Department of Maxillofacial Surgery, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy.) |
| Abstract | We present a rare case of a 47-year-old woman admitted to our maxillofacial surgery department for a large cervicofacial venous malformation. The patient underwent fluoroscopy-guided intralesional foam sclerotherapy with sodium tetradecyl sulfate and air under general anaesthesia. On awakening, after 48â h of endotracheal intubation, she displayed dysarthria and dysmetria. Her brain CT scan showed no haemorrhagic lesions. A chest CT scan ruled out a potential pulmonary embolism. Suspicion for a paradoxical embolism was high and echocardiography confirmed a patent foramen ovale, which acted as a passageway for the embolus. Transcranial ultrasound showed mild right-to-left heart shunting. The dysarthria and dysmetria disappeared gradually over 48â h, thus confirming a reversible ischaemic neurological deficit. A brain MRI performed 1â week later showed no ischaemic or haemorrhagic lesions. The patient recovered completely. She was advised cardiosurgical follow-up and discharged. |
| Volume Number | 2014 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Embolism, Paradoxical Etiology Foramen Ovale, Patent Complications Neck Blood Supply Sclerotherapy Adverse Effects Vascular Malformations Therapy Diagnosis Female Humans Middle Aged Sclerosing Solutions Therapeutic Use Sodium Tetradecyl Sulfate Ultrasonography Veins Abnormalities Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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