A neurosurgical presentation of patent foramen ovale with atrial septal aneurysm

Hdl Handle:
http://hdl.handle.net/10147/201353
Title:
A neurosurgical presentation of patent foramen ovale with atrial septal aneurysm
Authors:
Walsh, K.; Kaliaperumal, C.; Wyse, G.; Kaar, G.
Citation:
A neurosurgical presentation of patent foramen ovale with atrial septal aneurysm 2011, 2011 (jul19 1):bcr0620114305 Case Reports
Journal:
Case Reports
Issue Date:
10-Jan-2012
URI:
http://hdl.handle.net/10147/201353
DOI:
10.1136/bcr.06.2011.4305
Additional Links:
http://casereports.bmj.com/cgi/doi/10.1136/bcr.06.2011.4305
Item Type:
Study
Language:
en
Description:
We describe a case of cerebral abscess in a 53-year-old lady with a background of congenital heart defect. She has an atrial septal defect with atrial septal aneurysm, which remained undiagnosed until this clinical presentation. She presented with a short history of right-sided hemiplaegia and neuroimaging revealed a heterogeneous lesion in the left frontoparietal region. Neuronavigation-guided left frontoparietal craniotomy was performed to debulk the lesion and preoperatively frank pus was drained, which grew Streptococcus constellatus. She was successfully treated with antibiotics for 6 weeks and her clinical condition improved. We believe that the patients’ previous dental extraction has possibly resulted in a paradoxical embolism through the atrial septal defect bypassing the pulmonary circulation. The MRI scan picture was misleading, as it was initially thought to be a high-grade brain tumour.
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorWalsh, K.en
dc.contributor.authorKaliaperumal, C.en
dc.contributor.authorWyse, G.en
dc.contributor.authorKaar, G.en
dc.date.accessioned2012-01-10T16:36:44Z-
dc.date.available2012-01-10T16:36:44Z-
dc.date.issued2012-01-10T16:36:44Z-
dc.identifier.citationA neurosurgical presentation of patent foramen ovale with atrial septal aneurysm 2011, 2011 (jul19 1):bcr0620114305 Case Reportsen
dc.identifier.issn1757-790X-
dc.identifier.doi10.1136/bcr.06.2011.4305-
dc.identifier.urihttp://hdl.handle.net/10147/201353-
dc.descriptionWe describe a case of cerebral abscess in a 53-year-old lady with a background of congenital heart defect. She has an atrial septal defect with atrial septal aneurysm, which remained undiagnosed until this clinical presentation. She presented with a short history of right-sided hemiplaegia and neuroimaging revealed a heterogeneous lesion in the left frontoparietal region. Neuronavigation-guided left frontoparietal craniotomy was performed to debulk the lesion and preoperatively frank pus was drained, which grew Streptococcus constellatus. She was successfully treated with antibiotics for 6 weeks and her clinical condition improved. We believe that the patients’ previous dental extraction has possibly resulted in a paradoxical embolism through the atrial septal defect bypassing the pulmonary circulation. The MRI scan picture was misleading, as it was initially thought to be a high-grade brain tumour.en
dc.language.isoenen
dc.relation.urlhttp://casereports.bmj.com/cgi/doi/10.1136/bcr.06.2011.4305en
dc.titleA neurosurgical presentation of patent foramen ovale with atrial septal aneurysmen
dc.typeStudyen
dc.identifier.journalCase Reportsen
dc.description.provinceMunster-
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