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자료유형
학술저널
저자정보
Sang-Geun Lee (Department of Neurosurgery Wonju Severance Christian Hospital Yonsei University Wonju College of Me) Sung Min Cho (Department of Neurosurgery Wonju Severance Christian Hospital Yonsei University Wonju College of M) Kum Whang (Department of Neurosurgery Wonju Severance Christian Hospital Yonsei University Wonju College of M) Yeon Gyu Jang (Department of Neurosurgery Wonju Severance Christian Hospital Yonsei University Wonju College of Me) Jong Yeon Kim (Department of Neurosurgery Wonju Severance Christian Hospital Yonsei University Wonju College of M) Jong Wook Choi (Department of Neurosurgery Wonju Severance Christian Hospital Yonsei University Wonju College of M)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.18 No.2
발행연도
2022.10
수록면
404 - 409 (6page)
DOI
https://doi.org/10.13004/kjnt.2022.18.e65

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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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