Tran Dinh Tho, Than Van Sy, Chu Van Vinh, Chu Minh Phuc
Department of Hepatobiliary Surgery, Viet Duc University Hospital, Hanoi, VNM.
Department of Radiology, Viet Duc University Hospital, Hanoi, VNM.
Cureus. 2025 May 31;17(5):e85147. doi: 10.7759/cureus.85147. eCollection 2025 May.
Spinal cord infarction is a rare but serious complication following transarterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). We report a case of a 33-year-old male with a history of chronic hepatitis B and multiple prior TACE sessions who developed acute paraplegia after undergoing another TACE procedure. With immediate administration of high-dose corticosteroids and supportive care, the patient had partial neurological recovery. This case highlights the importance of recognizing extrahepatic arterial supply and the potential neurological risks associated with TACE.
脊髓梗死是肝细胞癌（HCC）经动脉化疗栓塞术（TACE）后一种罕见但严重的并发症。我们报告一例33岁男性，有慢性乙型肝炎病史且曾多次接受TACE治疗，在再次接受TACE手术后出现急性截瘫。通过立即给予大剂量皮质类固醇激素和支持治疗，患者神经功能部分恢复。该病例凸显了识别肝外动脉供血以及TACE相关潜在神经风险的重要性。
