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小腿血管畸形乙醇栓塞术后足下垂:神经损伤的教训。

Foot drop after ethanol embolization of calf vascular malformation: a lesson on nerve injury.

机构信息

Department of Plastic, Reconstructive, and Aesthetic Surgery, Singapore General Hospital, Singapore, Singapore.

出版信息

Cardiovasc Intervent Radiol. 2013 Aug;36(4):1165-71. doi: 10.1007/s00270-012-0471-4. Epub 2012 Sep 7.

Abstract

Ethanol is often used in sclerotherapy to treat vascular malformations. Nerve injury is a known complication of this procedure. However, the management of this complication is not well described in literature. This case describes a 10-year-old boy with a slow flow vascular malformation in the right calf who underwent transarterial ethanol embolization following prior unsuccessful direct percutaneous sclerotherapy. The development of a dense foot drop that subsequently recovered is described, and the management of this uncommon but distressful complication is discussed.

摘要

乙醇常被用于硬化疗法以治疗血管畸形。神经损伤是该手术已知的并发症。然而,这种并发症的处理在文献中并未详细描述。本病例描述了一名 10 岁男孩,其右小腿有慢血流血管畸形,曾行直接经皮硬化治疗但未成功,随后行经动脉乙醇栓塞术。描述了足下垂逐渐加重但随后恢复的情况,并讨论了这种罕见但令人痛苦的并发症的处理。

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