PMID- 38047095
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231205
IS  - 2383-9910 (Electronic)
IS  - 1976-8753 (Print)
IS  - 1976-8753 (Linking)
VI  - 16
IP  - 3
DP  - 2023 Nov
TI  - Cerebral Air Embolism After Air-Powder Abrasive Dental Treatment: A Case Report.
PG  - e22
LID - 10.12786/bn.2023.16.e22 [doi]
LID - e22
AB  - Cerebral air embolism (CAE) occurs in various clinical situations such as 
      surgery, angiography, and hemodialysis; most are iatrogenic. Here we report the 
      case of a 57-year-old man who developed CAE immediately after air-powder abrasive 
      treatment, which is commonly used in dentistry. The patient underwent air-powder 
      abrasive treatment for peri-implantitis, and immediately after the treatment, 
      cardiac arrest occurred and cardio- pulmonary resuscitation was performed. After 
      resuscitation, brain computed tomography performed in the emergency room showed 
      scattered dark density presumed to be air. The day after admission, the patient 
      showed right hemiplegia and a multifocal cerebral infarction was observed on 
      brain magnetic resonance imaging. Therefore, CAE was strongly suspected. After 
      hyperbaric oxygen treatment (HBOT), which started 4 days after the incident, the 
      patient regained consciousness and showed improvement in cognitive impairment, 
      and only grade 4 muscle weakness was observed in the right lower extremity on the 
      manual muscle test. This case highlights the importance of considering CAE as a 
      possible cause of neurological symptoms occurring during clinical procedures 
      involving air, and adds to the accumulation of evidence of therapeutic effects of 
      delayed HBOT.
CI  - Copyright (c) 2023. Korean Society for Neurorehabilitation.
FAU - Seong, Seung Tae
AU  - Seong ST
AUID- ORCID: 0000-0002-3712-570X
AD  - Department of Physical Medicine and Rehabilitation, Kosin University Gospel 
      Hospital, Busan, Korea.
FAU - Lee, Jae Hyun
AU  - Lee JH
AUID- ORCID: 0000-0002-4927-9722
AD  - Department of Physical Medicine and Rehabilitation, Kosin University Gospel 
      Hospital, Busan, Korea.
FAU - Sim, Young-Joo
AU  - Sim YJ
AUID- ORCID: 0000-0002-0640-8766
AD  - Department of Physical Medicine and Rehabilitation, Kosin University Gospel 
      Hospital, Busan, Korea.
FAU - Jeong, Ho Joong
AU  - Jeong HJ
AUID- ORCID: 0000-0002-0607-2799
AD  - Department of Physical Medicine and Rehabilitation, Kosin University Gospel 
      Hospital, Busan, Korea.
FAU - Kim, Ghi Chan
AU  - Kim GC
AUID- ORCID: 0000-0002-4954-3175
AD  - Department of Physical Medicine and Rehabilitation, Kosin University Gospel 
      Hospital, Busan, Korea.
LA  - eng
PT  - Case Reports
DEP - 20230907
PL  - Korea (South)
TA  - Brain Neurorehabil
JT  - Brain & NeuroRehabilitation
JID - 101769810
PMC - PMC10689869
OTO - NOTNLM
OT  - Air Embolism
OT  - Cerebral Ischemia
OT  - Dental Air Abrasion
OT  - Hyperbaric Oxygenation
OT  - Iatrogenic Disease
COIS- Conflict of Interest: The authors have no potential conflicts of interest to 
      disclose.
EDAT- 2023/12/04 06:42
MHDA- 2023/12/04 06:43
PMCR- 2023/09/07
CRDT- 2023/12/04 05:17
PHST- 2023/03/22 00:00 [received]
PHST- 2023/08/01 00:00 [revised]
PHST- 2023/08/11 00:00 [accepted]
PHST- 2023/12/04 06:43 [medline]
PHST- 2023/12/04 06:42 [pubmed]
PHST- 2023/12/04 05:17 [entrez]
PHST- 2023/09/07 00:00 [pmc-release]
AID - 10.12786/bn.2023.16.e22 [doi]
PST - epublish
SO  - Brain Neurorehabil. 2023 Sep 7;16(3):e22. doi: 10.12786/bn.2023.16.e22. 
      eCollection 2023 Nov.