Abstract
This article describes an 11-year-old girl with a diagnosis of Ebstein's anomaly. Glenn and Fontan surgeries were performed successfully. She had a generalized tonic-clonic seizure after peripheral intravenous infusion under pressure. A computed tomography brain scan performed 30 minutes later showed multiple serpiginous hypodensities in the cortical sulci and in the superior longitudinal sinus compatible with cerebral venous gas embolism. At follow-up 1 month later, the girl had severe motor impairment. Cerebral gas embolism should be considered in a patient with risk factors and acute neurological symptoms in order to select the treatment of choice, hyperbaric oxygen, and reduce damage to brain tissues.
MeSH terms
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Anti-Bacterial Agents / administration & dosage
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Cardiac Surgical Procedures
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Catheterization / adverse effects
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Causality
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Cerebral Cortex / blood supply
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Cerebral Cortex / pathology
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Cerebral Cortex / physiopathology
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Cerebral Infarction / etiology*
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Cerebral Infarction / pathology
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Cerebral Infarction / physiopathology
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Cerebral Veins / physiopathology*
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Cerebrovascular Circulation / physiology
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Child
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Early Diagnosis
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Ebstein Anomaly / physiopathology
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Ebstein Anomaly / surgery*
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Embolism, Air / complications
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Embolism, Air / etiology*
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Embolism, Air / physiopathology
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Female
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Heart Septal Defects, Atrial / physiopathology
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Heart Septal Defects, Atrial / surgery
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Humans
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Hyperbaric Oxygenation / standards
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Iatrogenic Disease / prevention & control*
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Infusions, Intravenous / adverse effects
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Magnetic Resonance Imaging
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Movement Disorders / etiology
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Movement Disorders / pathology
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Movement Disorders / physiopathology
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Surgical Wound Infection / drug therapy
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Time
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Tomography, X-Ray Computed