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- W4382808553 abstract "Introduction: Ischemic stroke is responsible for about 62% of all stroke cases. The lifetime risk of having a stroke is approximately 25%. Worldwide, stroke is one of the leading causes of mortality and disability. The causes are diverse, and the etiology must always be investigated in order to initiate specific treatment and adequate prophylaxis. Objectives: To report a case of ischemic stroke in a young woman after bronchoscopy with endotracheal tube replacement on an elective basis. Methods: Information was obtained through clinical follow-up in a neurology ward. Results: Patient, female, 27 years old, married, brown, with a history of polytrauma in 2015, after a bicycle accident, with the need for hospitalization in the intensive care unit, remaining intubated for nine days. Neurosurgical intervention was not necessary. The patient was discharged without any device, remaining functional, but two months later, she evolved with dyspnea, being diagnosed with tracheal stenosis, thus, a tracheostomy was necessary. In an outpatient routine, she was hospitalized for endotracheal tube replacement in October 2022. In the immediate postoperative period, she presented desaturation, requiring orotracheal intubation, sedation and breathing on mechanical ventilation. As she woke up weakly after ceasing sedation, a neurological investigation was initiated, being diagnosed with multiple areas of ischemic infarcts and identifying patent foramen ovale (PFO), moderate-grade paradoxical transseptal shunt as the most likely cause of the ischemic stroke. Conclusion: Young patient with PFO submitted to mechanical ventilation, after an elective procedure, evolving with worsening of the right-to-left shunt, resulting in ischemic stroke with a high degree of disability." @default.
- W4382808553 created "2023-07-02" @default.
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- W4382808553 date "2023-01-01" @default.
- W4382808553 modified "2023-10-03" @default.
- W4382808553 title "Case report: ischemic stroke in a young woman" @default.
- W4382808553 doi "https://doi.org/10.5327/1516-3180.141s1.344" @default.
- W4382808553 hasPublicationYear "2023" @default.
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