Hong Jeong-Ho, Ahn Seong Joon, Woo Se Joon, Jung Cheolkyu, Chang Jun Young, Chung Jin-Heon, Han Moon-Ku
Department of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
J Neurol Sci. 2014 Nov 15;346(1-2):310-4. doi: 10.1016/j.jns.2014.08.030. Epub 2014 Aug 28.
We report 2 cases of central retinal artery occlusion with concomitant ipsilateral cerebral infarction after cosmetic facial injections and a literature review. The 2 patients were two healthy women, in which cosmetic facial injections with autologous fat and filler were performed, respectively. The patients had no light perception at the final visit and their conditions led to memory retrieval disturbance in case 1 and right arm weakness, dysarthria, facial palsy, and ophthalmoplegia in case 2. Neuroimaging showed multifocal small infarctions in the ipsilateral frontal lobe with occlusion of the ophthalmic artery in case 1 and multiple infarctions in the ipsilateral anterior and middle cerebral artery territories with subsequent hemorrhagic transformation in case 2. Poor visual prognosis and neurological complications can occur in healthy adults undergoing cosmetic facial injection, and all patients should be informed of this risk before the procedure.
我们报告2例美容面部注射后并发同侧脑梗死的视网膜中央动脉阻塞病例并进行文献复习。这2例患者均为健康女性，分别接受了自体脂肪和填充剂的美容面部注射。最后一次就诊时，2例患者均无光感，病例1出现记忆恢复障碍，病例2出现右臂无力、构音障碍、面瘫和眼肌麻痹。神经影像学检查显示，病例1同侧额叶有多灶性小梗死，眼动脉闭塞；病例2同侧大脑前动脉和大脑中动脉供血区多发梗死，随后出现出血性转化。接受美容面部注射的健康成年人可能会出现不良的视力预后和神经并发症，所有患者在手术前均应被告知这种风险。
