Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Feb 1995
Case Reports[Trans-esophageal contrast echocardiography in suspicion of paradoxal embolism].
In two patients, women of 35 and 74 years old, paradoxical embolism was diagnosed. Patient A presented with multiple pulmonary embolism. Transoesophageal echocardiography demonstrated a thrombus mass which protruded from the right atrium through a patent foramen ovale into the left atrium: explicit proof of the possibility of paradoxical embolism. ⋯ During hospitalisation multiple pulmonary embolism occurred. With the use of transoesophageal contrast echocardiography a patent foramen ovale was observed, the probable cause of paradoxical embolism. Both patients were treated with intravenous heparin and oral anticoagulants.
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Ned Tijdschr Geneeskd · Feb 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Less headache following lumbar puncture with the use of an atraumatic needle; double-blind randomized study].
To investigate the difference in frequency of headache after lumbar puncture with a standard needle or an atraumatic needle. ⋯ In comparison with a standard needle, there is significantly less postpuncture headache after lumbar puncture with an atraumatic needle.