{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T19:22:10Z","timestamp":1788636130161,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2023,9,10]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>A young woman with Rogers syndrome (thiamine-responsive megaloblastic anaemia, diabetes mellitus and sensorineural deafness) presented with headache, recurrent supraventricular tachycardia and features of an upper gastrointestinal bleed, 1\u2009month after radiofrequency cardiac ablation for supraventricular tachycardia. She deteriorated rapidly after endoscopy and subsequently died. Brain imaging during the acute deterioration showed diffuse intracranial air embolism and hypoxic\u2013ischaemic injury. Postmortem examination showed an atrio-oesophageal fistula, a rare complication of cardiac ablation. Clinicians should suspect this condition in patients with acute neurological deterioration after cardiac ablation who have diffuse air embolism on imaging.<\/jats:p>","DOI":"10.1136\/pn-2023-003915","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T13:21:54Z","timestamp":1697116914000},"page":"37-40","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Fatal cerebral air embolism from atrio-oesophageal fistula following cardiac ablation"],"prefix":"10.1136","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6434-9496","authenticated-orcid":false,"given":"Ryan Yann Shern","family":"Keh","sequence":"first","affiliation":[{"name":"Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, UK"},{"name":"MRC Centre for Neuromuscular Diseases, National Hospital of Neurology and Neurosurgery, Queen Square, University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"du Plessis","sequence":"additional","affiliation":[{"name":"Department of Neuropathology, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian M","family":"Potter","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, UK"},{"name":"University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Kobylecki","sequence":"additional","affiliation":[{"name":"Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, UK"},{"name":"University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Cooper","sequence":"additional","affiliation":[{"name":"Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, UK"},{"name":"University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"2025090411091081000_24.1.37.1","unstructured":"Sako S , Tsunogai T , Oishi K . 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