Cerebral Infarct in a Long-Haul Traveler, From a Deep Vein Thrombosis, an unusual presentation, In a Person with Patent Foramen Ovale. A Special Case of Paradoxical Embolism

Whilst brain infarct resulting from leg thrombosis via patent foramen ovale is detailed in the literature, some aspects as selective vertebral artery embolism resulting in celebellarischaemic infarct following a long-haul flight have not yet been described.

The pulmonary embolism induced increased pressure gradient, dominant in the right sided cardiac system, facilitates the transfer of thrombi via the inter-artrial opening. Various organs would be targeted with thrombi, but the present case of thrombus dispersion via subclavian into vertebral artery and resulting in cerebellar ischemia is uncommon. The presenting symptom of seizures has not yet been recorded in thrombotic diseases of the brain. The high mortality rate requires an early aggressive approach of recanalization and cerebral decompression.