Massive Cerebral Air Embolism Causing Stroke Secondary to Pulmonary Tuberculosis
Abderrahmane Bouaggad, Mohammed Moussaoui, Omar Abassi, Samah Hassen, Fatiha Essodegui
Cerebral air embolism, Pulmonary tuberculosis, Stroke
Citation Information :
Bouaggad A, Moussaoui M, Abassi O, Hassen S, Essodegui F. Massive Cerebral Air Embolism Causing Stroke Secondary to Pulmonary Tuberculosis. Indian J Crit Care Med 2021; 25 (8):942-944.
Cerebral air embolism due to pulmonary tuberculosis is an extremely rare cause of stroke. We report an unusual case of a presentation of cerebral air embolism likely due to pulmonary tuberculosis lesions during a severe cough. We discuss the relationship between the pulmonary tuberculosis and the occurrence of the cerebral air embolism. A 55-year-old man with lung tuberculosis suddenly experienced a nontraumatic loss of consciousness after a severe cough. The magnetic resonance imaging confirmed an ischemic stroke due to cerebral air embolism. The thoracic scan revealed tuberculosis with a parenchymatous cavity. Patients with intrapulmonary tuberculosis cavities should be strongly considered for surgical repair and should be warned about the risk of rupture of the cavity in the situation of increasing thoracic pressure.
Ferry T, Argaud L, Delafosse B, Robert D. Inactive tuberculosis cavity responsible for fatal cerebral air embolism. Intensive Care Med 2006;32(4):622–623. DOI: 10.1007/s00134-006-0091-z.
Rodriguez JF, Liron L, Chambost M, Combe C. Cerebral gas embolism after cough fit. Ann Fr Anesth Reanim 2005;24(1):64–67. DOI: 10.1016/j.annfar.2004.10.023.
Jung HS, Jeong HW, In HS. Cerebral air embolism in a patient with a tuberculous-destroyed lung during commercial air travel: a case report. J Korean Soc Radiol 2011;65(2):109–112. DOI: 10.3348/jksr.2011.65.2.109.
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(4):307–310. DOI: 10.3348/jksr.2010.63.4.307.
Togo M, Hoshi T, Matsuoka R, Imai Y, Kohara N. Multiple small hemorrhagic infarcts in cerebral air embolism: a case report. BMC Res Notes 2017;16(10):599. DOI: 10.1186/s13104-017-2925-x.
Farshchi Zarabi S, Parotto M, Katznelson R, Downar J. Massive ischemic stroke due to pulmonary barotrauma and cerebral artery air embolism during commercial air travel. Am J Case Rep 2017;18:660–664. DOI: 10.12659/AJCR.903354.
Ho A M, Ling E. Systemic air embolism after lung trauma. Anesthesiology 1999;90(2):564–475. DOI: 10.1097/00000542-199902000-00033.
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(2):575–577. DOI: 10.1378/chest.130.2.575.
Gudmundsdottir JF, Geirsson A, Petur Hannesson P, Gudbjartsson T. Massive ischemic stroke due to pulmonary barotrauma and cerebral artery air embolism during commercial air travel. BMJ Case Rep 2015;2015. DOI: 10.1136/bcr-2014-208159. pii: bcr2014208159.