Carrillo ER, Sánchez GJR

Language: Spanish
References: 24
Page: 361-365
PDF size: 253.70 Kb.

ABSTRACT

A common cause of paradoxical embolism at central nervous system is patent foramen ovale. We report a case of 64 years old male admitted at Intensive Care Unit because of rostrocaudal deterioration secondary to bilateral temporoparietal infracts. Echocardiography reveals a patent foramen ovale of 4 to 5 mm and interatrial septum aneurysm, which was diagnosed as paradoxical embolism due to its bilateral ischemic events. Paradoxical embolism associated to patent foramen ovale is an important cause of cerebral vascular events, frequently unilateral and repetitive. Bilateral events, as this, are rare and have bad prognosis. To adequately establish diagnose, timely treat it, and avoid repetitive ischemic events it is important to have a high level of suspect and differential diagnose.

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