From shadows to light: navigating the rare complication of cerebral air embolism from a case report - Report - MDSpire

From shadows to light: navigating the rare complication of cerebral air embolism from a case report

  • By

  • Ying Zhu

  • Guanghao Liao

  • Liu Yang

  • Han Duan

  • Qi Zhu

  • Huang Fang

  • May 20, 2026

  • 0 min

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Clinical Report: Iatrogenic Cerebral Air Embolism Following Lung Biopsy

Overview

This report details a case of iatrogenic cerebral air embolism in a 71-year-old female following a CT-guided lung biopsy. The patient developed acute neurological deficits, which were managed with hyperbaric oxygen therapy, leading to her successful recovery.

Background

Cerebral air embolism is a rare but serious complication of procedures like CT-guided lung biopsy, with potentially life-threatening consequences. Early recognition and intervention are critical, as the condition can lead to significant neurological impairment. Understanding the risk factors and management strategies is essential for clinicians performing these procedures.

Data Highlights

No numerical data available.

Key Findings

  • The patient developed impaired consciousness and vomiting shortly after the lung biopsy.
  • Non-contrast cranial CT revealed small air bubbles in the brain, indicating cerebral air embolism.
  • Diffusion-weighted MRI showed multiple acute cerebral infarctions.
  • Hyperbaric oxygen therapy was administered, which contributed to the patient's recovery.
  • Clinicians should maintain a high index of suspicion for cerebral air embolism in patients with acute neurological deficits post-biopsy.

Clinical Implications

Healthcare professionals should be vigilant for signs of cerebral air embolism in patients following lung biopsies. Immediate intervention, including the administration of 100% oxygen and hyperbaric oxygen therapy, can significantly improve outcomes.

Conclusion

Iatrogenic cerebral air embolism is a critical complication of lung biopsy procedures that requires prompt recognition and treatment. This case underscores the importance of awareness and preparedness among clinicians.

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  5. Fatal left atrial air embolism as a complication of percutaneous transthoracic lung biopsy: A case report - PMC
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