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A Case Report of Cerebral Air Embolism after Esophagogastroduodenoscopy: Diagnosis and Management in the Emergency Department

      Abstract

      Background

      Esophagogastroduodenoscopy (EGD) is a rare cause of cerebral air embolism (CAE). To our knowledge, there are only eight previously reported such cases in the history of the procedure.

      Objective

      To identify clinical causes of CAE that can present to the emergency department (ED) and to understand the appropriate management of CAE.

      Case Report

      A 71-year-old man presented with new-onset left-sided hemiparesis and dysarthria 2 h after undergoing an outpatient EGD. The patient was diagnosed with CAE in the ED after undergoing a computed tomography scan of the brain without contrast.

      Conclusion

      The diagnosis of CAE is based on a thorough history and obtaining urgent radiographic imaging of the brain. The definitive treatment of CAE involves hyperbaric oxygen.

      Keywords

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