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- Kensaku Shibazaki, Yasuyuki Iguchi, Takeshi Inoue, Yuji Ueno, and Kazumi Kimura.
- Department of Stroke Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701 0192, Japan. shibaken@kawasaki-m.ac.jp
- J Clin Neurosci. 2007 Aug 1; 14 (8): 788-91.
AbstractWe report a patient with paradoxical brain embolism due to patent foramen ovale (PFO) associated with pulmonary embolism (PE). The number of microembolic signals, as detected by contrast saline transcranial Doppler (c-TCD) exam, drastically decreased with improvement of increased right atrial pressure due to PE. In a patient with paradoxical brain embolism associated with PE, c-TCD may be useful for both diagnosis of the presence of right-to-left shunting and evaluation of cardio-pulmonary circulation.
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