Journal List > J Korean Soc Radiol > v.66(2) > 1087068

Lee, Kim, Seo, Suk, and Oh: Multidetector Row CT Detection of a Patent Foramen Ovale Causing Neurologic Deficits in an Adolescent: A Case Report

Abstract

A patent foramen ovale (PFO) is a persisting fetal circulation structural abnormality that can cause neurologic deficits such as migraine and cryptogenic stroke. Here we report a case of PFO diagnosed by cardiac multidetector row CT in an adolescent male with chronic migraine and stroke.

References

1. Hara H, Virmani R, Ladich E, Mackey-Bojack S, Titus J, Reisman M, et al. Patent foramen ovale: current pathology, pathophysiology, and clinical status. J Am Coll Cardiol. 2005. 46:1768–1776.
2. Homma S, Di Tullio MR. Patent foramen ovale and stroke. J Cardiol. 2010. 56:134–141.
3. Williamson EE, Kirsch J, Araoz PA, Edmister WB, Borgeson DD, Glockner JF, et al. ECG-gated cardiac CT angiography using 64-MDCT for detection of patent foramen ovale. AJR Am J Roentgenol. 2008. 190:929–933.
4. Kim YJ, Hur J, Shim CY, Lee HJ, Ha JW, Choe KO, et al. Patent foramen ovale: diagnosis with multidetector CT--comparison with transesophageal echocardiography. Radiology. 2009. 250:61–67.
5. Handke M, Harloff A, Olschewski M, Hetzel A, Geibel A. Patent foramen ovale and cryptogenic stroke in older patients. N Engl J Med. 2007. 357:2262–2268.
6. Stöllberger C, Slany J, Schuster I, Leitner H, Winkler WB, Karnik R. The prevalence of deep venous thrombosis in patients with suspected paradoxical embolism. Ann Intern Med. 1993. 119:461–465.
7. Hansen A, Kuecherer H. Caught in the act: entrapped embolus through a patent foramen ovale. Eur J Echocardiogr. 2008. 9:692–693.
8. McCandless RT, Arrington CB, Nielsen DC, Bale JF Jr, Minich LL. Patent foramen ovale in children with migraine headaches. J Pediatr. 2011. 159:243–247.e1.
9. Pinto FJ. When and how to diagnose patent foramen ovale. Heart. 2005. 91:438–440.
10. Wu CC, Chen WJ, Chen MF, Liau CS, Chu SH, Lee YT. Left-to-right shunt through patent foramen ovale in adult patients with left-sided cardiac lesions: a transesophageal echocardiographic study. Am Heart J. 1993. 125:1369–1374.
11. Boussel L, Cakmak S, Wintermark M, Nighoghossian N, Loffroy R, Coulon P, et al. Ischemic stroke: etiologic work-up with multidetector CT of heart and extra- and intracranial arteries. Radiology. 2011. 258:206–212.
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