Lipiodol brain embolism through right inferior phrenic artery-pulmonary vein shunt after transcatheter arterial chemoembolization
Gastrointestinal Intervention
; : 91-93, 2018.
Article
in En
| WPRIM
| ID: wpr-739768
Responsible library:
WPRO
ABSTRACT
Lipiodol brain embolism is a rare complication associated with transcatheter arterial cheomoembolization (TACE). The present case describes a patient with lipiodol brain embolism who presented with several symptoms, including drowsy mental state, right facial palsy, and weakness in the right upper and lower limbs. The patient's non-enhanced computed tomography scan and magnetic resonance imaging (MRI) findings revealed multifocal lipiodol deposition and an acute infarction of the brain. A retrospective review of the angiography findings revealed a right inferior phrenic artery-pulmonary vein shunt, which was not observed during the previous TACE. Three days after TACE, the patient's symptoms improved; however, the extent of the brain hyperintensity had widened further on the following MRI. The patient gradually recovered and was finally discharged.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Veins
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Brain
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Magnetic Resonance Imaging
/
Angiography
/
Retrospective Studies
/
Ethiodized Oil
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Intracranial Embolism
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Lower Extremity
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Facial Paralysis
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Infarction
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Gastrointestinal Intervention
Year:
2018
Type:
Article