Middle cerebral artery hypodense dot sign in iatrogenic air embolism.

Neurol Sci

Department of Neurology and Stroke Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Published: December 2024

AI Article Synopsis

  • Air embolism is an uncommon cause of stroke, often linked to medical procedures, with this case specifically highlighting its occurrence after a gastroscopy.
  • The patient exhibited symptoms like aphasia and weakness on one side of the body due to blockage in a brain artery but managed to recover completely.
  • A CT scan showed a specific "hypodense dot sign" indicating the presence of air in the brain, which can help in diagnosing air embolism quickly for effective treatment.

Article Abstract

Air embolism is a rare cause of stroke, usually associated with medical procedures, with gastrointestinal endoscopy rarely implicated. Here, we present a case of a patient who experienced cerebral air embolism post-gastroscopy, presenting with aphasia and right hemiparesis due to left M2 occlusion with spontaneous and complete recovery. CT scan revealed a hypodense defect in the left Sylvian fissure, representing a "hypodense dot sign" suggestive of an air embolism. The hypodense MCA sign, previously described in fat embolism cases, could also indicate air embolism, supporting prompt diagnosis and proper intervention.

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Source
http://dx.doi.org/10.1007/s10072-024-07792-2DOI Listing

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