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

To report a case of iatrogenic cerebral air embolism following a CT-guided lung biopsy, highlighting its significance in clinical practice and discussing its diagnosis and management.

Key Findings:
  • The patient exhibited acute neurological deficits post-biopsy, including impaired consciousness and hemiplegia.
  • Imaging revealed small intracranial air bubbles and multiple acute cerebral infarctions, with no major vessel occlusion.
  • Hyperbaric oxygen therapy was effective in improving clinical outcomes.
Interpretation:

Cerebral air embolism is a rare but serious complication of lung biopsy that requires prompt recognition and treatment to improve prognosis, given its potential severity.

Limitations:
  • The case study is based on a single patient, limiting generalizability.
  • Long-term outcomes and potential recurrence were not assessed, and follow-up data is lacking.
Conclusion:

Clinicians should be vigilant for signs of cerebral air embolism in patients with acute neurological symptoms following lung biopsy, as early diagnosis and hyperbaric oxygen therapy may provide significant benefits.

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