Lung Biopsy as Rare Cause of Thromboembolic Stroke: A Case Report

• DOI: 10.12659/ajcr.935587
• Publication Date: 2022-04-28T14:10:40Z
• Authors: Ariel M. Shafa; Bashar Khiatah; James Ty Daly; Amanda Frugoli; Charles Hubeny
• Keywords: Stroke

BACKGROUND:CT-guided lung biopsy is a routine procedure used to evaluate suspicious pulmonary lesions that may arise from malignancy or infectious etiology. Common complications such as pneumothorax, bleeding, and rare cases of air embolisms leading stroke have been documented well. It reported there 0.06-0.08% risk embolism resulting in patients undergoing CT-guided biopsy. However, other causes ischemic following should be considered. CASE REPORT:A 36-year-old obese man presented with chronic shortness breath, intermittent fever, night sweats. Chest CT showed multiple bilateral nodules basilar predominance, laboratory test results no acute infections, negative TB QuantiFERON, normal transthoracic echocardiogram. Therefore, elective was performed direct future medical therapy. Shortly after the procedure, patient having right-sided vision loss decreased sensation on right half his face, arms, legs. Non-contrast brain hemorrhage intracranially. Neurology consult, protocol initiated, which resulted tPA being administered. TPA use resolved patient’s symptoms, signs hemorrhage. CONCLUSIONS:Air commonly cause strokes biopsies, can detected our case presents an evidence Multidisciplinary team consultations consideration alternative lifesaving, urgent therapy delayed without proper considerations.