Paraparesis 由 transarterial chemoembolization 引起了: 一份案例报告

• 作者: Ashaur Azhar David Hertzog Jorge Ortiz Kamran Khanmoradi Kashif Tufail Victor Araya
• 来源期刊: 世界肝病学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Transarterial CHEMOEMBOLIZATION PARAPARESIS SPINAL CORD ISCHEMIA HEPATOCELLULAR carcinoma
• 年，卷（期）: 2010,（7）
• 页码范围: 289-291
• 页数: 3页
• 分类号: R735.7

摘要

Transarterial chemoembolization (TACE) is an effective modality for the treatment of Hepatocellular Carcinoma. It is used to treat small tumors and to downstage large tumors to meet liver transplant criteria. TACE can be associated with multiple side effects, including fever, right upper quadrant pain, nausea, vomiting, hepatic failure, hepatic encephalopathy, cholecystitis and pancreatitis. Neurological complications after TACE are rare, usually caused by cerebral embolism, and confirmed by means of imaging studies. Spinal cord ischemia secondary to TACE is extremely rare and can lead to significant morbidity. We report a case of paraparesis caused by TACE with normal imaging and nerve conduction studies, suggestive of localized vasculitis.