Novel Partial Anomalous Pulmonary Venous Connection Associated with Brain Abscess
Journal of Clinical Neurology
;
: 55-58, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-113291
ABSTRACT
BACKGROUND:
Right-to-left vascular shunts are associated with brain abscess. CASE REPORT We present a 47-year-old female with a cryptogenic left thalamic abscess on which Streptococcus mitis grew upon aspiration. Computed tomography of the chest with contrast agent revealed an anomalous connection between the left superior pulmonary and brachiocephalic veins. A right-to-left shunt was confirmed in a transthoracic echocardiogram study in which bubbles were injected into the left arm; this shunt had not previously been noted upon right-arm injection.CONCLUSIONS:
We recommend aggressive evaluation for right-to-left shunts in patients who present with cryptogenic brain abscesses. In addition to imaging, this should include a bubble-based study with left-arm saline injection.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Bras
/
Thorax
/
Encéphale
/
Abcès cérébral
/
Veines brachiocéphaliques
/
Streptococcus mitis
/
Abcès
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of Clinical Neurology
Année:
2014
Type:
Article
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