肝癌膈下动脉化疗栓塞术致脊髓损伤康复治疗1例报道

doi:10.3969/j.issn.1006-9771.2017.00.002

Abstract

Abstract: Objective To further explore the complication of spinal cord injury occured after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma via inferior phrenic artery. MethodsThe clinical and imaging data of one patient with spinal cord injury caused by TACE for hepatocellular carcinoma via inferior phrenic artery was retrospectively analyzed. The pathologic mechanism, risk factors and outcome of rehabilitative treatment were discussed after literature review. ResultsThe abnormal opening of communicating branches between inferior phrenic artery and spinal cord blood supplying was the underlying mechanism inducing spinal cord injury after TACE. The risk factors included contrast agent, chemotherapy drug, embolic agent, and multiple interventional therapy, etc. Most patients returned almost to normal state within several months after early rehabilitation. ConclusionSpinal cord injury occurred after TACE for hepatocellular carcinoma via inferior phrenic artery is an extremely rare complication. Most patients have a favorable outcome with early detection and timely rehabilitation.

Key words: hepatocellular carcinoma, transcatheter arterial chemoembolization, spinal cord injury, risk factors, rehabilitation, outcome

CLC Number:

R651.2

LIU Hong-wei, LI Jun, DU Liang-jie. Rehabilitation of Spinal Cord Injury Occured after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma via Inferior Phrenic Artery: A Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(4): 472-476.

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Rehabilitation of Spinal Cord Injury Occured after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma via Inferior Phrenic Artery: A Case Report

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