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KMID : 1143720220180020404
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Korean Journal of Neurotrauma
2022 Volume.18 No. 2 p.404 ~ p.409
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Spinal Cord Infarction After Transarterial Chemoembolization for Hepatocellular Carcinoma
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Lee Sang-Geun
Cho Sung-Min
Whang Kum
Jang Yeon-Gyu
Kim Jong-Yeon
Choi Jong-Wook
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Abstract
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Transarterial chemoembolization (TACE) is an effective treatment for unresectable hepatocellular carcinoma (HCC). It is considered relatively safe. However, fatal complications such as pulmonary edema and liver abscesses can occur. Spinal infarction due to local embolism of the central nervous system after TACE is a very rare, but fatal complication. Here, we report a case of spinal cord infarction after TACE for ruptured HCC. Paraplegia occurred at the T10 sensory level 6 hours after the procedure. The patient received steroid megadose therapy but died 5 days later due to exacerbation of metabolic acidosis and blood loss. This case demonstrates the need for a comprehensive and extensive study of arterial blood flow prior to angiography.
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KEYWORD
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Spinal cord ischemia, Embolization, Hepatocellular carcinoma
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