{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:50:45Z","timestamp":1765371045043,"version":"3.46.0"},"reference-count":15,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Neurol"],"abstract":"<jats:p>&lt;p&gt;Introduction: A CT-guided lung biopsy is a procedure to obtain tissue samples for lesion characterization and staging, but a rare and dangerous complication is a cerebral and systemic air embolism, which can cause ischemic organ damage. Case Presentation: We report a case of a 62-year-old male with adenocarcinoma of the right lung who underwent a CT-guided lung biopsy to assess for small cell transformation. During the final biopsy attempt, a suctioning sound was heard from the needle tip, and the patient immediately became unresponsive, experiencing hypotension, tachycardia, and hypopnea. Non-contrast CT showed intracranial and subcutaneous air emboli. The patient was intubated and transferred to the ICU, where he received hyperoxygenation therapy. Conclusion: This case highlights that cerebral air embolism, although rare, can be a severe complication of CT-guided lung biopsy. Prompt recognition and treatment are essential for positive outcomes. As image-guided procedures increase, such cases may become more common, requiring further research. &lt;\/p&gt;<\/jats:p>","DOI":"10.1159\/000548040","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:12:07Z","timestamp":1765357927000},"page":"153-160","source":"Crossref","is-referenced-by-count":0,"title":["Cerebral Air Embolism Causing Cerebrovascular Accident after CT-Guided Needle Lung Biopsy"],"prefix":"10.1159","volume":"17","author":[{"given":"Lucille J.","family":"Wilkinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Kostrubsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassie Crain","family":"Norris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilip","family":"Arcot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Crayton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prathap Kumar","family":"Simhadri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2016.06.016"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-018-1317-0"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1393975"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.4329\/wjr.v2.i5.193"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-07372-w"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.4659"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2011.03.005"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.legalmed.2020.101774"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2024.01.027"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.004241"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-12-2"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2018.09.004"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-013-0808-7"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.4274\/dir.2022.221187"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.025340"}],"container-title":["Case Reports in Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:12:10Z","timestamp":1765357930000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000548040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,8]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000548040","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.30305137","asserted-by":"subject"}]},"ISSN":["1662-680X"],"issn-type":[{"value":"1662-680X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,8]]}}}