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Paradoxical Emboli Secondary to Hepatic Pathology: Common or Coincidental?

Paradoxical cerebral emboli from cardiac and pulmonary sources are well described in the peer-reviewed literature. We outline a case with a hepatic etiology and describe diagnostic and management options. Though this paper represents the first documentation of such, we believe that transpulmonary sh...

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Detalles Bibliográficos
Autores principales: Gabikian, Patrik, Walker, Melanie, Chowdhary, Abhineet M., Lam, Arthur M., Britz, Gavin W.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786997/
https://www.ncbi.nlm.nih.gov/pubmed/19997516
http://dx.doi.org/10.1155/2009/184192
Descripción
Sumario:Paradoxical cerebral emboli from cardiac and pulmonary sources are well described in the peer-reviewed literature. We outline a case with a hepatic etiology and describe diagnostic and management options. Though this paper represents the first documentation of such, we believe that transpulmonary shunting with concurrent paradoxical cerebral microemboli is more prevalent than recognized. We introduce this case report to compel practitioners to consider paradoxical emboli in selected cirrhotic patients since it can often be difficult to elicit subtle neurologic changes on clinical examination of patients with end stage liver disease.