{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:11:58Z","timestamp":1792735918143,"version":"4.5.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,2,12]]},"abstract":"<jats:p>We report an extremely rare complication of a major ischaemic cerebral event caused by an air embolism due to spontaneous rupture of a giant pulmonary bulla that occurred during an airline flight. Shortly after take-off, the patient experienced sudden right-sided hemiplegia and dyspnoea. Following an emergency landing in Reykjavik, a CT scan of the brain showed minute air bubbles consistent with air emboli within the left-sided intracerebral arteries, and MRI showed signs of acute ischaemic cerebral infarction in the left hemisphere. The patient later underwent a pulmonary lobectomy and survived this life-threatening complication with relatively mild neurological sequelae.<\/jats:p>","DOI":"10.1136\/bcr-2014-208159","type":"journal-article","created":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T10:22:21Z","timestamp":1425550941000},"page":"bcr2014208159","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Major ischaemic stroke caused by an air embolism from a ruptured giant pulmonary bulla"],"prefix":"10.1136","volume":"2015","author":[{"given":"Johanna F","family":"Gudmundsdottir","sequence":"first","affiliation":[{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnar","family":"Geirsson","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petur","family":"Hannesson","sequence":"additional","affiliation":[{"name":"Department of Radiology, Landspitali University Hospital, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Gudbjartsson","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland"},{"name":"Faculty of Medicine, University of Iceland, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,3,5]]},"reference":[{"key":"2025082804112828000_2015.mar05_1.bcr2014208159.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-3359(03)00095-4"},{"key":"2025082804112828000_2015.mar05_1.bcr2014208159.2","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3181cf8695"},{"key":"2025082804112828000_2015.mar05_1.bcr2014208159.3","doi-asserted-by":"publisher","DOI":"10.12809\/hkmj133898"},{"key":"2025082804112828000_2015.mar05_1.bcr2014208159.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200002173420706"},{"key":"2025082804112828000_2015.mar05_1.bcr2014208159.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.2.575"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-208159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:11:34Z","timestamp":1756379494000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-208159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,5]]},"references-count":5,"alternative-id":["10.1136\/bcr-2014-208159"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-208159","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,5]]}}}