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J Comput Assist Tomogr · Sep 2005
Case ReportsCerebral lipiodol embolism after transcatheter arterial chemoembolization of hepatocellular carcinoma.
- Hidemasa Takao, Kohzoh Makita, Ippei Doi, and Toshiaki Watanabe.
- Department of Radiology, Showa General Hospital, Tokyo, Japan. takaoh-tky@umin.ac.jp
- J Comput Assist Tomogr. 2005 Sep 1;29(5):680-2.
AbstractA case of cerebral lipiodol embolism after transcatheter arterial chemoembolization (TACE) of hepatocellular carcinoma is presented. A 76-year-old man underwent TACE for advanced hepatocellular carcinoma. Immediately after chemoembolization, his level of consciousness deteriorated. Computed tomography revealed deposition of iodized oil in the cerebral cortex, basal ganglia, and thalami. Magnetic resonance imaging showed restricted diffusion within the thalami and basal ganglia. The patient's level of consciousness gradually improved, and all neurologic symptoms disappeared over 6 weeks.
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