{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:36:27Z","timestamp":1769517387133,"version":"3.49.0"},"reference-count":9,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1981,12]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Cerebral air embolism occurred in a patient undergoing trigeminal rhizotomy in the sitting position. During the acute episode, a murmur was detected by the Doppler probe and foam was aspirated from the central venous catheter. The patient did not regain consciousness postoperatively, and computerized tomography demonstrated diffuse cerebral infarction. Subsequently, the patient died, and neuropathological examination revealed multifocal discrete infarcts in the gray and white matter with normal intervening brain. No intracardiac septal defects were present. This is the first fully documented case of cerebral air embolism of venous origin in the absence of intracardiac septal defects, and reemphasizes the hazards of operative procedures in the sitting position.<\/jats:p>","DOI":"10.3171\/jns.1981.55.6.0997","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T13:46:11Z","timestamp":1241790371000},"page":"997-1000","source":"Crossref","is-referenced-by-count":59,"title":["Paradoxical cerebral air embolism without an intracardiac septal defect"],"prefix":"10.3171","volume":"55","author":[{"given":"Jose","family":"Marquez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold","family":"Sladen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Gendell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manfred","family":"Boehnke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvey","family":"Mendelow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Acta Anaesthesiol Scand","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1111\/j.1399-6576.1976.tb05018.x","article-title":"Anesthetic management of posterior fossa surgery in the sitting position.","volume":"20","author":"Albin","year":"1976"},{"key":"b2","series-title":"Anaesthesia","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1111\/j.1365-2044.1976.tb11844.x","article-title":"Venous air embolism during neurosurgery. 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A report of five fatal cases and one of rescue by a simple maneuver.","volume":"31","author":"Hamby","year":"1952"},{"key":"b5","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1097\/00000542-197610000-00018","article-title":"Venous air embolism, a possible cause of acute pulmonary edema.","volume":"45","author":"Ishak","year":"1976"},{"key":"b6","series-title":"Br J Anaesth","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1093\/bja\/43.1.84","article-title":"Air embolism during neurosurgery in the sitting position.","volume":"43","author":"Leivers","year":"1971"},{"key":"b7","series-title":"Can Anaesth Soc J","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1007\/BF03004140","article-title":"Air embolus in neurosurgical anaesthesia, its diagnosis and treatment.","volume":"12","author":"Marshall","year":"1965"},{"key":"b8","series-title":"Anesth Analg (Cleve)","first-page":"390","article-title":"Air embolism during neurosurgery: a new method of treatment.","volume":"45","author":"Michenfelder","year":"1966"},{"key":"b9","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1097\/00000542-197609000-00024","article-title":"Pulmonary interstitial edema after multiple venous air emboli.","volume":"45","author":"Perschau","year":"1976"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/55\/6\/article-p997.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/55\/6\/article-p997.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/55\/6\/article-p997.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T12:31:03Z","timestamp":1658665863000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/55\/6\/article-p997.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[1981,12]]},"references-count":9,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.1981.55.6.0997","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1981,12]]}}}