• Anesthesia and analgesia · Apr 2004

    Case Reports

    Paradoxical embolus after multiple trauma resulting in a cerebrovascular accident.

    • Mark D Price, Pranay Kanake, and Daniel Talmor.
    • Division of Health Sciences and Technology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02115, USA.
    • Anesth. Analg. 2004 Apr 1; 98 (4): 1121-3, table of contents.

    UnlabelledWe present the case of a 57-yr-old patient who suffered an unexplained cerebrovascular event 3 days after being struck by a motor vehicle. Workup demonstrated a previously unknown patient foramen ovale. The etiologies of paradoxical embolism in trauma are discussed.ImplicationsParadoxical embolism after multiple traumas is described. Delay in diagnosis may occur given the need for near continuous sedation in the patient with injuries undergoing multiple surgeries and diagnostic tests.

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