PARADOXICAL CEREBRAL EMBOLISM WITH A PATENT FORAMEN OVALE - A REPORT OF 29 PATIENTS

被引：56

作者：

GAUTIER, JC ^{[1
]}

DURR, A ^{[1
]}

KOUSSA, S ^{[1
]}

LASCAULT, G ^{[1
]}

GROSGOGEAT, Y ^{[1
]}

机构：

[1] HOP LA PITIE SALPETRIERE,SERV CARDIOL,F-75651 PARIS 13,FRANCE

来源：

CEREBROVASCULAR DISEASES | 1991年 / 1卷 / 04期

关键词：

CEREBRAL EMBOLISM; PARADOXICAL EMBOLISM; PARADOXICAL CEREBRAL EMBOLISM; PATENT FORAMEN OVALE;

D O I：

10.1159/000108842

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Patent foramen ovale (PFO) is present in 25-30% of the population. Spontaneously, or with activities implying a Valsalva maneuver, a transient right-to-left shunt occurs. This can now be easily diagnosed with contrast echography. We report 29 cases of paradoxical cerebral embolism with a PFO and compare them with 25 reported cases. There may be clinical evidence suggesting the diagnosis: a Valsalva-inducing activity at the onset of stroke. previous chronic pulmonary hypertension, contemporary pulmonary embolism and evidence of deep vein thrombosis.

引用

页码：193 / 202

页数：10

共 30 条

[1]

BECQUEMIN JP, 1981, NOUV PRESSE MED, V10, P959

[2] INTERATRIAL SHUNTING IN ATRIAL SEPTAL ANEURYSM [J].

BELKIN, RN ;

WAUGH, RA ;

KISSLO, J .

AMERICAN JOURNAL OF CARDIOLOGY, 1986, 57 (04) :310-312

[3] PARADOXICAL CEREBRAL EMBOLISM - 8 CASES [J].

BILLER, J ;

ADAMS, HP ;

JOHNSON, MR ;

KERBER, RE ;

TOFFOL, GJ .

NEUROLOGY, 1986, 36 (10) :1356-1360

[4] FURTHER OBSERVATIONS ON CEREBRAL OR RETINAL ISCHEMIA IN PATIENTS WITH RIGHT-LEFT INTRACARDIAC SHUNTS [J].

BILLER, J ;

JOHNSON, MR ;

ADAMS, HP ;

KERBER, RE ;

CORBETT, JJ ;

BRUNO, A ;

LETH, RJ .

ARCHIVES OF NEUROLOGY, 1987, 44 (07) :740-743

[5]

CHENG TO, 1976, CIRCULATION, V53, P565

[6]

COHNHEIM J, 1877, HDB ARZTE STUDIEREND, V1, P134

[7] CONTRAST ECHOCARDIOGRAPHIC VISUALIZATION OF COUGH-INDUCED RIGHT TO LEFT SHUNT THROUGH A PATENT FORAMEN OVALE [J].

DUBOURG, O ;

BOURDARIAS, JP ;

FARCOT, JC ;

GUERET, P ;

TERDJMAN, M ;

FERRIER, A ;

RIGAUD, M ;

BARDET, JC .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1984, 4 (03) :587-594

[8]

GAUTIER JC, 1989, REV NEUROL, V145, P6

[9]

GAZZANIGA AB, 1970, ANN SURG, V17, P134

[10]

GOASGUEN J, 1979, REV NEUROL, V135, P279

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