Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Department of Plastic and Reconstructive Surgery, Changan Hospital, Xi'an, 710016, Shaanxi, China.
Aesthetic Plast Surg. 2020 Apr;44(2):543-548. doi: 10.1007/s00266-019-01589-x. Epub 2020 Jan 13.
Cerebral infarction is a rare complication of hyaluronic acid (HA) filler injection, usually presenting with sudden increase in intracranial pressure and loss of vision.
A 40-year-old Asian woman in a coma was transferred to the emergency intensive care unit of Xijing Hospital, China, 48 h after nasal augmentation with HA. Magnetic resonance imaging indicated cerebral infarction and left optic nerve edema and ischemia. Magnetic resonance angiography did not reveal vessel embolism.
The patient developed gastric ulceration, pulmonary infection, respiratory failure, and cerebral herniation, and died 6 days after the HA filler injection.
Facial cosmetic HA filler injection can cause devastating and even fatal complications.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
脑梗死是透明质酸（HA）填充剂注射的罕见并发症，通常表现为颅内压突然升高和视力丧失。
一名 40 岁的亚洲女性在接受 HA 鼻整形术后 48 小时陷入昏迷，被转入中国西京医院急诊重症监护病房。磁共振成像显示脑梗死和左侧视神经水肿和缺血。磁共振血管造影未显示血管栓塞。
患者发生胃溃疡、肺部感染、呼吸衰竭和脑疝，在 HA 填充剂注射后 6 天死亡。
面部美容 HA 填充剂注射可导致严重甚至致命的并发症。
证据等级 V：本杂志要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南 www.springer.com/00266。
