Spinal, Cerebral and Cerebellar Embolism after Injection of N-Butyl-2-Cyanoacrylate in Esophageal Variceal Bleeding |
Jun Hee Bang, Seung Jae Jang, Young Gon Jung, Jong In Choi, Chang Kook Park, Ho Dong Kim |
Department of Internal Medicine, St. Carollo Hospital, Suncheon, Korea. raphael65@hanmail.net |
|
Abstract |
We report a case of spinal, cerebral and cerebellar embolism that occurred following injection sclerotherapy with n-butyl-2-cyanoacrylate for variceal bleeding. The patient had been diagnosed with alcoholic liver cirrhosis and esophageal variceal bleeding. We performed injection sclerotherapy with n-butyl-2-cyanoacrylate. The patient complained of both leg motor weakness and left arm motor weakness after injection and was diagnosed with spinal, cerebral and cerebellar embolism following the n-butyl-2-cyanoacrylate injection. At the follow-up examination, the patient's neurologic symptoms had improved, but left leg motor weakness remained. To our knowledge, this is the first report of a case of multiple embolizations including the spine, cerebrum and cerebellum after n-butyl-2-cyanoacrylate injection for treatment of esophageal variceal bleeding. |
Key Words:
Spinal embolism; N-butyl-2-cyanoacrylate, Bleeding |
|