@article{ref1,
title="Stroke in a scuba diver with patent foramen ovale",
journal="European journal of neurology",
year="2002",
author="Buttinelli, Carla and Beccia, Mario and Argentino, Corrado",
volume="9",
number="1",
pages="89-91",
abstract="Patent foramen ovale (PFO) is a frequent condition which carries a significant risk for stroke when associated with deep venous thrombosis and primary or secondary coagulation abnormalities. Here, we describe a patient in which scuba diving is thought to be associated with stroke in a subject with an otherwise clinically silent PFO. During a rapid ascent a 43-year-old-scuba diver reported weakness and paresthesias in the right arm which lasted about 10 min. He presented similar symptoms 2 days later 1 h after diving, and a third time on his flight back home. The MRI showed multiple hyperintense areas on T2-weighted images in the white matter. Transoesophageal echocardiography (TEE) showed a PFO, whilst all haematological and haemocoagulation tests were negative. Scuba diving may constitute a patho-physiological condition in the presence of PFO as breath-holding promotes right-to-left shunt and arterialization of venous bubbles.<p /><p>Language: en</p>",
language="en",
issn="1351-5101",
doi="",
url="http://dx.doi.org/"
}