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Neurological pictures
Multiple cerebral air emboli during upper gastrointestinal endoscopy
  1. Gaia Talisa Koster1,
  2. Dieta Brandsma1,
  3. Henk Boot2,
  4. Nyika Dalitso Kruyt1
  1. 1Department of Neurology, Slotervaart hospital, Amsterdam, The Netherlands
  2. 2Department of Gastroenterology, Netherlands Cancer Institute, Antoni van Leeuwenhoek hospital, Amsterdam, The Netherlands
  1. Correspondence to Dr Nyika Dalitso Kruyt, Department of Neurology, Slotervaart Hospital Amsterdam, Louwesweg 6, PO box 90440, Amsterdam 1066 BK, The Netherlands; ndkruyt{at}gmail.com

https://doi.org/10.1136/jnnp-2012-303377

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    A 76-year-old woman, previously treated with curative chemo-radiation for a T3N1M0 squamous cell carcinoma of the oesophagus, underwent upper gastrointestinal (GI) endoscopy with high air pressure to dilate a postradiation oesophageal stricture. The procedure was performed under conscious sedation with midazolam. Immediately after, she could not move her left arm and leg. On neurological examination she had right-sided conjugate eye- and head deviation with left-sided hemianopsia and left-sided hemiparalysis of arm and leg with ipsilateral hyperreflexia and extensor plantar reflex. A brain CT …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.