Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 14088  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal


Year : 2021  |  Volume : 69  |  Issue : 5  |  Page : 1371--1373

Simultaneous Acute Pulmonary Thromboembolism and Stroke – A Management Dilemma

1 Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
2 Department of Critical Care Medicine, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
3 Department of Cardiology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India

Correspondence Address:
Sita Jayalakshmi
Senior Consultant Neurologist, Krishna Institute of Medical Sciences, Minister Road, 1-8-31/1, Secunderabad, Hyderabad - 500 003, Telangana
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.329553

Rights and Permissions

The management of established pulmonary thromboembolism (PTE) coexisting with acute ischemic stroke (AIS) is quite challenging. We report the case of a 52-year-old man with concurrent massive right middle cerebral artery AIS and acute PTE, who was successfully managed despite the contradictory guidelines to manage them simultaneously. The patient underwent decompression craniotomy followed by anticoagulant therapy. The current case report demonstrates that full-dose heparin, despite being relatively contraindicated in an AIS, can achieve a good outcome when given under close monitoring. The transesophageal echo with bubble contrast during the Valsalva maneuver demonstrated patent foramen ovale with a right to left shunt as a cause of AIS and PTE in this patient.


Print this article     Email this article

Online since 20th March '04
Published by Wolters Kluwer - Medknow