caa a22 4500 445356138 CHVBK 20180317142900.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s10072-011-0572-x doi (NATIONALLICENCE)springer-10.1007/s10072-011-0572-x Can patent foramen ovale affect rehabilitation? The uncommon association of platypnea-orthodeoxia syndrome and stroke [Elektronische Daten] [S. Gallerini, B. Calchetti, C. Cianchi, A. Di Troia, R. Madonna, A. Cresti, M. Mancuso] Platypnea-orthodeoxia is a rare syndrome characterized by dyspnea and deoxygenation induced by a change to a sitting or standing from a recumbent position. It is the result of posturally accentuated intracardiac or pulmonary right-to-left shunt leading to arterial oxygen desaturation. Only few cases of platypnea-orthodeoxia syndrome are reported in the literature and the association between stroke and platypnea-orthodeoxia syndrome with evidence of patent foramen ovale is extremely rare. We describe the case of a 67-year-old female admitted to our Rehabilitation Unit for disabling basilar stroke due to paradoxical embolism from patent foramen ovale that during the first days of rehabilitation showed signs and symptoms of platypnea-orthodeoxia syndrome. To remove a life-threatening condition for the patient and in order to develop the normal rehabilitation project, that was stopped by the platypnea-orthodeoxia syndrome, the patient fastly underwent to percutaneous closure of patent foramen ovale. The stabilization of oxygen arterial saturation with postural changes and the disappearance of symptoms of POS allowed to develop the rehabilitation project with progressive neurological improvement. Springer-Verlag, 2011 Platypnea-orthodeoxia syndrome nationallicence Patent foramen ovale nationallicence Stroke nationallicence Rehabilitation nationallicence Gallerini S. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut Calchetti B. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut Cianchi C. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut Di Troia A. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut Madonna R. Reanimation Unit, Misericordia Hospital, Grosseto, Italy aut Cresti A. Cardiology Unit, Misericordia Hospital, Grosseto, Italy aut Mancuso M. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut Neurological Sciences Springer Milan 32/3(2011-06-01), 513-514 1590-1874 32:3<513 2011 32 10072 https://doi.org/10.1007/s10072-011-0572-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0572-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gallerini S. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut NATIONALLICENCE 700 1- Calchetti B. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut NATIONALLICENCE 700 1- Cianchi C. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut NATIONALLICENCE 700 1- Di Troia A. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut NATIONALLICENCE 700 1- Madonna R. Reanimation Unit, Misericordia Hospital, Grosseto, Italy aut NATIONALLICENCE 700 1- Cresti A. Cardiology Unit, Misericordia Hospital, Grosseto, Italy aut NATIONALLICENCE 700 1- Mancuso M. Rehabilitation Unit, Misericordia Hospital, Via senese, Grosseto, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/3(2011-06-01), 513-514 1590-1874 32:3<513 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer