Barbosa Mateus Daniela, Dionisio Antony, Mendes Tânia F, Araújo Ana Margarida, Gonçalves Pereira João
Department of Internal Medicine, Hospital Vila Franca de Xira, Vila Franca de Xira, PRT.
Department of Internal Medicine, Hospital São Francisco Xavier, Lisbon, PRT.
Cureus. 2024 Nov 13;16(11):e73594. doi: 10.7759/cureus.73594. eCollection 2024 Nov.
Massive hemoptysis is a life-threatening condition. Bronchial artery embolization (BAE) is an effective technique for controlling bleeding in cases of severe hemoptysis, with infrequent complications. While rare, spinal cord infarction is a serious potential complication of BAE. Here, we present a case involving a 28-year-old man with idiopathic pulmonary hypertension who underwent BAE after recurrent severe hemoptysis. Following the procedure, he developed urinary retention and progressive sensory deficits, culminating in significant motor impairment. Magnetic resonance imaging (MRI) revealed ischemic lesions in the posterior spinal cord, resulting in a diagnosis of iatrogenic spinal cord ischemia. While BAE is an effective therapeutic option for severe hemoptysis, it carries the risk of serious complications, including spinal cord ischemia. This case underscores the potential for iatrogenic spinal cord injury following BAE and highlights the need for increased awareness in high-risk patients.
大量咯血是一种危及生命的病症。支气管动脉栓塞术（BAE）是控制严重咯血病例出血的有效技术，并发症较少。虽然罕见，但脊髓梗死是BAE的一种严重潜在并发症。在此，我们报告一例涉及一名28岁特发性肺动脉高压男性患者的病例，该患者在反复严重咯血后接受了BAE。术后，他出现了尿潴留和进行性感觉障碍，最终导致严重的运动功能障碍。磁共振成像（MRI）显示脊髓后部有缺血性病变，诊断为医源性脊髓缺血。虽然BAE是治疗严重咯血的有效选择，但它存在包括脊髓缺血在内的严重并发症风险。该病例强调了BAE后发生医源性脊髓损伤的可能性，并突出了高危患者提高认识的必要性。
