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Anesth Analg 2008; 106:249-251
© 2008 International Anesthesia Research Society
doi: 10.1213/01.ane.0000289634.24785.04
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NEUROSURGICAL ANESTHESIA

Nonfatal Cerebral Air Embolism After Dental Surgery

Giuseppina Magni, MD, PhD, Carmela Imperiale, Giovanni Rosa, and Roberto Favaro

From the Department of Anesthesia and Intensive Care Policlinico Umberto I University of Rome "La Sapienza", Rome, Italy.

Address correspondence and reprint requests to Giuseppina Magni, MD PhD, Department of Anaesthesia and Intensive Care Policlinico Umberto I, Viale del Policlinico 155 – 00100, Rome, Italy. Address e-mail to gmagni{at}yahoo.com.

After removal of four impacted third molars under general anesthesia, our patient developed subcutaneous emphysema, pneumothorax, pneumopericardium, and pneumomediastinum. Soon thereafter, coma with generalized epileptic status ensued. A cerebral magnetic resonance and single photon emission computed tomography showed hypoperfusion of the right thalamus and parietal, temporal, and frontal cortices. The likely mechanism was injection of air by the high-speed dental drill through the soft tissue adjacent to the roots of the lower molars. We were unable to find any previous report of systemic air embolism after oral surgery.




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Air Penetration into the Tissues During Oral Surgery
Anesth. Analg., September 1, 2008; 107(3): 1085 - 1085.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
G. Magni, C. Imperiale, G. Rosa, and R. Favaro
Air Penetration into the Tissues During Oral Surgery
Anesth. Analg., September 1, 2008; 107(3): 1085 - 1085.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.