腰动脉栓塞后孤立性椎体骨梗死 1 例报告。
Isolated vertebral bone infarction following lumbar artery embolization- a case report.
机构信息
Division of General Radiology, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, Graz, 8036, Austria.
Division of Neuroradiology, Interventional and Vascular Radiology, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, Graz, 8036, Austria.
出版信息
Eur Spine J. 2024 Dec;33(12):4757-4761. doi: 10.1007/s00586-024-08507-z. Epub 2024 Sep 27.
PURPOSE
To report a rare case of isolated lumbar vertebral body infarction following lumbar artery embolization for suspected retroperitoneal haemorrhage.
METHODS
We present the case of a 75-year-old male who underwent lumbar artery embolization due to a suspected retroperitoneal haemorrhage post-surgery. Magnetic resonance imaging (MRI) was performed to monitor post-embolization severe lumbar pain.
RESULTS
Initial MRI two days post-embolization showed no osseous signal changes or epidural abscess. A subsequent MRI 26 days post-embolization was performed because of increasing lumbar back pain and it revealed a new bone infarction at the L3 vertebral body. CT showed embolization deposits within the vertebral body, not present before the procedure.
CONCLUSION
This unique case underscores the importance of considering vertebral body infarction as a potential complication following lumbar artery embolization. MRI was critical in early detection of the bone infarction, while CT confirmed the presence of embolization material. Awareness of this rare complication is crucial for prompt diagnosis and management.
目的
报告一例罕见的腰动脉栓塞后孤立性腰椎体梗死病例，该患者疑诊为腹膜后出血。
方法
我们报告了一例 75 岁男性患者，该患者因手术后疑似腹膜后出血而行腰动脉栓塞。进行磁共振成像（MRI）检查以监测栓塞后严重的腰痛。
结果
栓塞后 2 天的初始 MRI 未见骨信号改变或硬膜外脓肿。栓塞后 26 天，由于腰痛加剧，进行了后续 MRI 检查，结果显示 L3 椎体出现新的骨梗死。CT 显示椎体内部有栓塞沉积物，而在手术前则没有。
结论
这一独特的病例强调了腰椎体梗死是腰动脉栓塞后一种潜在并发症的重要性。MRI 对早期发现骨梗死至关重要，而 CT 则证实了栓塞物质的存在。对这种罕见并发症的认识对于及时诊断和治疗至关重要。
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