Article

Brain abscess caused by pulmonary arteriovenous fistulas without Rendu-Osler-Weber disease.

Department of Neurology, Arao Municipal Hospital, Arao.
Internal Medicine (impact factor: 0.94). 02/2009; 48(6):485-7. pp.485-7
Source: PubMed

ABSTRACT A 52-year-old man was admitted with a brain abscess in the left basal ganglia. He had a paradoxical brain embolic mechanism owing to a pulmonary arteriovenous fistula (PAVF) and was diagnosed as having a right-to-left shunt by transesophageal echocardiography (TEE) and transcranial color Doppler (TCD) with saline contrast medium. We determined that the brain abscess was caused by the PAVFs without Rendu-Osler-Weber disease. TEE and TCD with saline contrast medium were very useful for identifying the presence of the right-to-left shunt that caused the brain abscess.

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