Cerebral arterial gas embolism proven by computed tomography following transthoracic echocardiography using bubble contrast

Neil Dg Banham, Jacqui Saw, Graeme J Hankey, Darshan Ghia

Research output: Contribution to journalArticle

Abstract

A 75 year-old male developed features of an acute stroke following bubble contrast echocardiography, which was shown on emergent computed tomography scanning to be a result of cerebral arterial gas embolism (CAGE) to the left middle cerebral artery. Ischaemic stroke symptoms have previously been reported as a rare complication of bubble contrast echocardiography. Radiologically proven CAGE from bubble contrast echocardiography had not been reported at the time this case occurred. Immediate provision of 100% oxygen and administration of hyperbaric oxygen are recommended treatments for CAGE and were associated with a substantial recovery for this patient.

Original languageEnglish
Pages (from-to)300-302
Number of pages3
JournalDiving and Hyperbaric Medicine
Volume50
Issue number3
DOIs
Publication statusPublished - 30 Sep 2020

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