Clinical features of bilateral multiple pulmonary arteriovenous fistulas with paroxysmal aphasia as the first symptom: a case report

• 作者: Yi Bao Chongliang Lv Tingkang Huang Jun Chen Hanyu Dou Guangjian Liu
• 来源期刊: 转化神经科学电子杂志（英文）
• 年，卷（期）: 2021,（2）
• 所属期刊栏目: Case Report
• 页码范围: 32-36
• 页数: 5页
• 语种: 英文
• DOI: 10.3868/j.issn.2096-0689.2021.02.005

摘要

Objective: to describe the clinical fea-tures of bilateral multiple pulmonary arteriovenous fistu-las (PAF) with paroxysmal aphasia as the first symptom. Methods: we collected the clinical history and examina-tion data of a patient with paroxysmal aphasia. In order to trace the etiology, we performed chest computed to-mography (CT) and pulmonary CT angiography (CTA). Results: the patient had paroxysmal aphasia with dizzi-ness, brain magnetic resonance imaging (MRI) showed cerebral infarction, the transcranial Doppler (TCD) foam-ing test was positive, transesophageal ultrasound showed no patent foramen ovale, and chest CT and CTA showed bilateral multiple PAF. Conclusion: bilateral multiple PAF are rare in clinic. When patients have paroxysmal neurological symptoms, the possibility of PAF leading to embolism should be considered.