Korean J Med.  2013 Oct;85(4):416-419.

A Cerebral Air Embolism after CT-Guided Percutaneous Transthoracic Fine-Needle Aspiration Biopsy of the Lung

Affiliations
  • 1Division of Pulmonology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. littmann@yuhs.ac

Abstract

Low-dose thoracic computed tomography (CT) for the early diagnosis of lung cancer detects many solitary pulmonary nodules. Fine needle aspiration biopsy (FNAB) is the diagnostic method used most commonly in the diagnosis of solitary pulmonary nodules. Cerebral air embolism is a rare, fatal complication of FNAB. Hyperbaric oxygenation therapy within 6 hours of the event ensures a good prognosis with cerebral air embolisms. We present a case of cerebral air embolism that occurred during CT-guided lung FNAB biopsy that was treated with hyperbaric oxygenation within 6 hours. The patient recovered completely from the neurological deficit and had a favorable long-term outcome.

Keyword

Embolism, air; Biopsy, Fine-needle; Hyperbaric oxygenation

MeSH Terms

Biopsy
Biopsy, Fine-Needle
Early Diagnosis
Embolism, Air
Humans
Hyperbaric Oxygenation
Lung
Lung Neoplasms
Prognosis
Solitary Pulmonary Nodule
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