Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Pre-stroke undiagnosed dysphagia lusoria as a rare cause of aspiration pneumonia with respiratory failure in a stroke patient

V. Spatenkova, P. Krejzarova, J. Jedlicka,

. 2018 ; 6 (-) : 2050313X18761308. [pub] 20180308

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc18009924

Introduction: Dysphagia is a risk factor for aspiration pneumonia and acute respiratory failure in acute stroke patients. Dysphagia lusoria is caused by compression on the esophagus from artery lusoria, when the aberrant right subclavian artery arises from the descending aortic arch. We present a rare case report of pre-stroke undiagnosed dysphagia lusoria as a cause of aspiration pneumonia with acute respiratory failure in a 67-year-old female patient admitted with a minor left intracerebral hemorrhage in the left basal ganglia. On admission to the stroke unit, she had Glasgow Coma Scale of 15, National Institutes of Health Stroke Scale of 8, and a negative screening test for dysphagia, dysphasia, and right-sided hemiparesis. After 16 h of admission, dyspnea suddenly occurred with a decrease in SpO2(72%). X-ray of the lungs showed less ventilated areas of the lung due to aspiration pneumonia and a broad disfigured shadow of the anterior mediastinum on the base of the lusoria artery. Dysphagia lusoria was confirmed by spiral computed tomography angiography. Conclusion: One aim of neurocritical care is the prevention of pneumonia from dysphagia due to risk of acute respiratory failure and secondary brain damage. Pre-stroke undiagnosed dysphagia lusoria could be one very rare cause. A broad disfigured shadow of the anterior mediastinum in X-ray of the lungs gives rise to the first suspicion of the possibility of dysphagia lusoria.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc18009924
003      
CZ-PrNML
005      
20210208141317.0
007      
ta
008      
180404s2018 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1177/2050313X18761308 $2 doi
035    __
$a (PubMed)29552342
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Spatenkova, Vera $u Neurocenter, Neurointensive Care Unit, Regional Hospital Liberec, Liberec, Czech Republic.
245    10
$a Pre-stroke undiagnosed dysphagia lusoria as a rare cause of aspiration pneumonia with respiratory failure in a stroke patient / $c V. Spatenkova, P. Krejzarova, J. Jedlicka,
520    9_
$a Introduction: Dysphagia is a risk factor for aspiration pneumonia and acute respiratory failure in acute stroke patients. Dysphagia lusoria is caused by compression on the esophagus from artery lusoria, when the aberrant right subclavian artery arises from the descending aortic arch. We present a rare case report of pre-stroke undiagnosed dysphagia lusoria as a cause of aspiration pneumonia with acute respiratory failure in a 67-year-old female patient admitted with a minor left intracerebral hemorrhage in the left basal ganglia. On admission to the stroke unit, she had Glasgow Coma Scale of 15, National Institutes of Health Stroke Scale of 8, and a negative screening test for dysphagia, dysphasia, and right-sided hemiparesis. After 16 h of admission, dyspnea suddenly occurred with a decrease in SpO2(72%). X-ray of the lungs showed less ventilated areas of the lung due to aspiration pneumonia and a broad disfigured shadow of the anterior mediastinum on the base of the lusoria artery. Dysphagia lusoria was confirmed by spiral computed tomography angiography. Conclusion: One aim of neurocritical care is the prevention of pneumonia from dysphagia due to risk of acute respiratory failure and secondary brain damage. Pre-stroke undiagnosed dysphagia lusoria could be one very rare cause. A broad disfigured shadow of the anterior mediastinum in X-ray of the lungs gives rise to the first suspicion of the possibility of dysphagia lusoria.
655    _2
$a časopisecké články $7 D016428
700    1_
$a Krejzarova, Pavlina $u Department of Radiology, Regional Hospital Liberec, Liberec, Czech Republic.
700    1_
$a Jedlicka, Jaroslav $u Neurocenter, Neurointensive Care Unit, Regional Hospital Liberec, Liberec, Czech Republic.
773    0_
$w MED00194818 $t SAGE open medical case reports $x 2050-313X $g Roč. 6, č. - (2018), s. 2050313X18761308
856    41
$u https://pubmed.ncbi.nlm.nih.gov/29552342 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20180404 $b ABA008
991    __
$a 20210208141316 $b ABA008
999    __
$a ind $b bmc $g 1287409 $s 1006736
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2018 $b 6 $c - $d 2050313X18761308 $e 20180308 $i 2050-313X $m SAGE open medical case reports $n SAGE Open Med Case Rep $x MED00194818
LZP    __
$a Pubmed-20180404

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...