결핵성 파괴폐 환자의 비행기 여행 중 발생한 대뇌 공기 색전증: 1예

Cerebral Air Embolism in a Patient with a Tuberculous-Destroyed Lung during Commercial Air Travel: A Case Report

  • 정현석 (인제대학교 의과대학 부산백병원 영상의학과학교실) ;
  • 정해웅 (인제대학교 의과대학 부산백병원 영상의학과학교실) ;
  • 인현신 (인제대학교 의과대학 부산백병원 영상의학과학교실)
  • Jung, Hyun-Seok (Department of Radiology, Pusan Paik Hospital, Inje University School of Medicine) ;
  • Jeong, Hae-Woong (Department of Radiology, Pusan Paik Hospital, Inje University School of Medicine) ;
  • In, Hyun-Sin (Department of Radiology, Pusan Paik Hospital, Inje University School of Medicine)
  • 발행 : 2011.08.01

초록

대뇌 공기 색전증은 뇌경색의 드문 원인이다. 이러한 대뇌 공기 색전증의 흔한 원인은 심장과 폐에 대한 침습적 시술, 스쿠버 다이빙 중 빠른 해수면 상승에 의한 폐 압력 손상 등이 있다. 하지만 비행기 여행 등의 기압 변화에 의한 대뇌 공기 색전증 발생은 매우 드물며, 현재까지 7개의 증례가 보고 되었다. 이에 저자들은 결핵성 파괴폐 환자에서 비행기 여행 중 발생한 대뇌 공기 색전증을 경험하여, 이에 대한 증례 보고를 하는 바이다.

A cerebral air embolism is a rare cause of stroke, but may occur in patients undergoing invasive cardiac and pulmonary procedures, as well as in divers suffering pulmonary barotrauma from rapid ascent. A cerebral air embolism due to other causes, especially a change of air pressure from air travel, is particularly rare. Here, we report a case of cerebral air embolism during commercial air travel in a patient with an tuberculous-destroyed lung.

키워드

참고문헌

  1. Zaugg M, Kaplan V, Widmer U, Baumann PC, Russi EW. Fatal air embolism in an airplane passenger with a giant intrapulmonary bronchogenic cyst. Am J Respir Crit Care Med 1998;157:1686-1689 https://doi.org/10.1164/ajrccm.157.5.9706040
  2. Edwardson M, Wurth D, Lacy JM, Fink J, Becker K. Cerebral air embolism resulting in fatal stroke in an airplane passenger with a pulmonary bronchogenic cyst. Neurocrit Care 2009;10:218-221 https://doi.org/10.1007/s12028-008-9126-3
  3. Almeida FA, Desouza BX, Meyer T, Gregory S, Greenspon L. Intrapulmonary bronchogenic cyst and cerebral gas embolism in an aircraft flight passenger. Chest 2006;130:575-577 https://doi.org/10.1378/chest.130.2.575
  4. Salameh J. A 62-year-old woman with cerebral artery air embolism during commercial air travel. Neurologist 2010;16:136-137 https://doi.org/10.1097/NRL.0b013e3181cf8695
  5. Closon M, Vivier E, Breynaert C, Duperret S, Branche P, Coulon A, et al. Air embolism during an aircraft flight in a passenger with a pulmonary cyst: a favorable outcome with hyperbaric therapy. Anesthesiology 2004;101:539-542 https://doi.org/10.1097/00000542-200408000-00037
  6. Neidhart P, Suter PM. Pulmonary bulla and sudden death in a young aeroplane passenger. Intensive Care Med 1985;11:45-47
  7. Almeida N, Schuller D. Cerebral air embolism resulting from an airplane flight. J Repi Dis 2007;28:304-308
  8. Oh JY, Park DW, Hahm CK, Park CK, Lee SR, Lee Y. A Cerebral air embolism that developed following defecation in a patient with extensive pulmonary tuberculosis: a case report. J Korean Soc Radiol 2010;63:307-310 https://doi.org/10.3348/jksr.2010.63.4.307
  9. Jeon SB, Kim JS, Lee DK, Kang DW, Kwon SU. Clinicoradio-logical characteristics of cerebral air embolism. Cerebrovasc Dis 2007;23:459-462 https://doi.org/10.1159/000101749
  10. Kang DW, Chalela JA, Ezzeddine MA, Warach S. Association of ischemic lesion patterns on early diffusion-weighted imaging with TOAST stroke subtypes. Arch Neurol 2003;60:1730-1734 https://doi.org/10.1001/archneur.60.12.1730
  11. Muth CM, Shank ES. Gas embolism. N Engl J Med 2000;342:476-482 https://doi.org/10.1056/NEJM200002173420706