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Published in: Acta Neurochirurgica 7/2018

01-07-2018 | Case Report - Vascular Neurosurgery - Other

Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report

Authors: Mina Lundborg, Eirik Helseth, Roger Josefsen, Martin Braathen, Karoline Skogen, Jon Ramm-Pettersen

Published in: Acta Neurochirurgica | Issue 7/2018

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Abstract

A case with cerebral venous air embolism (CVAE) after neurosurgery and treated with hyperbaric oxygen therapy (HBOT) is presented. This is a rare and potentially fatal complication that neurosurgeons should be aware of. A 52-year-old male was diagnosed with an intracerebral hematoma. An emergency evacuation of the hematoma was performed with a craniotomy and the postoperative CT scan showed a complete evacuation of the hematoma, but it also revealed a CVAE. The patient was immediately referred to HBOT and received three sessions within 48 h. The CT scan after the first HBOT showed no CVAE, venous thrombosis, or new hematoma.
Literature
1.
go back to reference Bothma P, Schlimp C (2014) II. Retrograde cerebral venous gas embolism: are we missing too many cases? Br J Anaesth 112:401–404CrossRefPubMed Bothma P, Schlimp C (2014) II. Retrograde cerebral venous gas embolism: are we missing too many cases? Br J Anaesth 112:401–404CrossRefPubMed
2.
go back to reference Bothma PA, Brodbeck AE, Smith BA (2012) Cerebral venous air embolism treated with hyperbaric oxygen: a case report. Diving Hyperb Med 42:101–103PubMed Bothma PA, Brodbeck AE, Smith BA (2012) Cerebral venous air embolism treated with hyperbaric oxygen: a case report. Diving Hyperb Med 42:101–103PubMed
3.
go back to reference Buras JA, Reenstra WR (2007) Endothelial-neutrophil interactions during ischemia and reperfusion injury: basic mechanisms of hyperbaric oxygen. Neurol Res 29:127–131CrossRefPubMed Buras JA, Reenstra WR (2007) Endothelial-neutrophil interactions during ischemia and reperfusion injury: basic mechanisms of hyperbaric oxygen. Neurol Res 29:127–131CrossRefPubMed
4.
go back to reference Camporesi EM, Bosco G (2014) Mechanisms of action of hyperbaric oxygen therapy. Undersea Hyperb Med 41:247–252PubMed Camporesi EM, Bosco G (2014) Mechanisms of action of hyperbaric oxygen therapy. Undersea Hyperb Med 41:247–252PubMed
5.
go back to reference Chang C-C, Chao Y-K, Wu Y-M, Wong H-F, Wong Y-C, Toh C-H (2014) Retrograde cerebral venous air embolism: a case report and review of literature. J Radiol Sci 39:101–104 Chang C-C, Chao Y-K, Wu Y-M, Wong H-F, Wong Y-C, Toh C-H (2014) Retrograde cerebral venous air embolism: a case report and review of literature. J Radiol Sci 39:101–104
6.
go back to reference Diving A (1980) US navy diving manual. Navy Department, Washington, DC 1:7 Diving A (1980) US navy diving manual. Navy Department, Washington, DC 1:7
7.
go back to reference Heckmann JG, Lang CJ, Kindler K, Huk W, Erbguth FJ, Neundörfer B (2000) Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization. Crit Care Med 28:1621–1625CrossRefPubMed Heckmann JG, Lang CJ, Kindler K, Huk W, Erbguth FJ, Neundörfer B (2000) Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization. Crit Care Med 28:1621–1625CrossRefPubMed
8.
go back to reference Jain KK, SpringerLink (2017) Textbook of hyperbaric medicine. 6th ed. 2016. Edn. Springer, Cham Jain KK, SpringerLink (2017) Textbook of hyperbaric medicine. 6th ed. 2016. Edn. Springer, Cham
9.
go back to reference Lai D, Jovin TG, Jadhav AP (2013) Cortical vein air emboli with gyriform infarcts. JAMA Neurol 70:939–940CrossRefPubMed Lai D, Jovin TG, Jadhav AP (2013) Cortical vein air emboli with gyriform infarcts. JAMA Neurol 70:939–940CrossRefPubMed
10.
go back to reference Moon RE (2014) Hyperbaric oxygen treatment for air or gas embolism. Undersea Hyperb Med 41:159–166PubMed Moon RE (2014) Hyperbaric oxygen treatment for air or gas embolism. Undersea Hyperb Med 41:159–166PubMed
12.
go back to reference Nedelmann M, Pittermann P, Gast KK, Mueller-Forell W, Dieterich M (2007) Involvement of jugular valve insufficiency in cerebral venous air embolism. J Neuroimaging 17:258–260CrossRefPubMed Nedelmann M, Pittermann P, Gast KK, Mueller-Forell W, Dieterich M (2007) Involvement of jugular valve insufficiency in cerebral venous air embolism. J Neuroimaging 17:258–260CrossRefPubMed
13.
go back to reference Schlimp CJ, Bothma PA, Brodbeck AE (2014) Cerebral venous air embolism: what is it and do we know how to deal with it properly? JAMA Neurol 71:243–243CrossRefPubMed Schlimp CJ, Bothma PA, Brodbeck AE (2014) Cerebral venous air embolism: what is it and do we know how to deal with it properly? JAMA Neurol 71:243–243CrossRefPubMed
14.
go back to reference Schmidts MB, Lederer W, Rieger M, Loimer T, Schlimp CJ (2005) The potential of venous air embolism ascending retrograde to the brain. J Forensic Sci 50:1–4 Schmidts MB, Lederer W, Rieger M, Loimer T, Schlimp CJ (2005) The potential of venous air embolism ascending retrograde to the brain. J Forensic Sci 50:1–4
17.
go back to reference Trytko B, Bennett M (2008) Arterial gas embolism: a review of cases at Prince of Wales Hospital, Sydney, 1996 to 2006. Anaesth Intensive Care 36:60–64PubMed Trytko B, Bennett M (2008) Arterial gas embolism: a review of cases at Prince of Wales Hospital, Sydney, 1996 to 2006. Anaesth Intensive Care 36:60–64PubMed
Metadata
Title
Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report
Authors
Mina Lundborg
Eirik Helseth
Roger Josefsen
Martin Braathen
Karoline Skogen
Jon Ramm-Pettersen
Publication date
01-07-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 7/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3537-5

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