Neurological Sciences

, Volume 29, Issue 3, pp 169–171 | Cite as

Paradoxical brain embolism in a young man with isolated pulmonary arteriovenous fistula

  • Giampaolo Tomelleri
  • Paolo Bovi
  • Monica Carletti
  • Sara Mazzucco
  • Elena Bazzoli
  • Francesco Casilli
  • Eustaquio Onorato
  • Giuseppe Moretto
Case Report

Abstract

We herein report a case of ischemic stroke due to paradoxical brain embolism in a young man, a trumpet player. Extensive diagnostic investigations revealed the presence of an isolated pulmonary arteriovenous fistula as the only risk factor for stroke. The peculiarity of this case is the early onset of neurological symptoms in the absence of Hereditary Hemorrhagic Teleangiectasia. The Authors suppose the repeated Valsalva maneuvers as a possible factor promoting fistula enlargement and symptoms development.

Keywords

Pulmonary arteriovenous fistula Brain embolism 

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Giampaolo Tomelleri
    • 1
  • Paolo Bovi
    • 1
  • Monica Carletti
    • 2
  • Sara Mazzucco
    • 3
  • Elena Bazzoli
    • 3
  • Francesco Casilli
    • 4
  • Eustaquio Onorato
    • 4
  • Giuseppe Moretto
    • 1
  1. 1.UO NeurologiaAzienda Ospedaliera-UniversitariaVeronaItaly
  2. 2.Divisione Clinicizzata di CardiologiaAzienda Ospedaliera-UniversitariaVeronaItaly
  3. 3.Dipartimento Scienze Neurologiche e della VisioneAzienda Ospedaliera-UniversitariaVeronaItaly
  4. 4.Servizio di CardiologiaOspedale Sant’Orsola FBFBresciaItaly

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