Title |
Multifocal Stroke From Ozone Gas Emboli |
Creator |
Paul R. Freund; Laila Alshafai; Edward A. Margolin |
Affiliation |
Department of Ophthalmology and Vision Sciences (PRF, EAM), University of Toronto, Toronto, Canada; and Department of Medical Imaging (LA), University of Toronto, Toronto, Canada |
Abstract |
A 34-year-old man with chronic neck pain was treated with regular cervical paravertebral ozone injections. After his last injection, he experienced a syncopal episode and, upon awakening, was found to have ataxia, aphasia, hemiparesis, and left sixth nerve palsy. Computed tomographic angiography demonstrated intra-arterial gas in the right vertebral artery; multiple posterior circulation infarcts were seen on brain MRI. This case illustrates the potential dangers of paravertebral injections of ozone. |
Subject |
Adult; Chronic Disease; Embolism, Air / diagnostic imaging; Embolism, Air / etiology; Exercise Therapy; Humans; Hyperbaric Oxygenation; Injections, Intra-Arterial; Magnetic Resonance Imaging; Male; Neck Pain / drug therapy; Oxidants, Photochemical / adverse effects; Ozone / adverse effects; Stroke / diagnostic imaging; Stroke / etiology; Vertebral Artery |
Date |
2019-12 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Publication Type |
Journal Article |
Source |
Journal of Neuro-Ophthalmology, December 2019, Volume 39, Issue 4 |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
ARK |
ark:/87278/s6wx38sn |
Setname |
ehsl_novel_jno |
ID |
1645548 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6wx38sn |