Abstract

CERVERA-OCANA, Wilton Luis; HUANCA-BERNAL, Karol Jasmin; CERVERA-OCANA, Martha Sofia  and  CERVERA-OCANA, Rut Irene. Spinal cord infarction after chemoembolization of bilateral breast tumor: a case report. Rev. Fac. Med. Hum. [online]. 2021, vol.21, n.3, pp.666-673. ISSN 1814-5469.  http://dx.doi.org/10.25176/rfmh.v21i3.3710.

Spinal cord infarction is a rare entity that can be caused by interventional procedures such as chemoembolization applied for breast tumors, despite its high level of safety. This is the case of a 51-year-old female with chest pain and hemorrhage from a friable neoplastic lesion of the bilateral breast without improvement after conservative measures. After embolization of the tumor arteries, the patient developed crural paraparesis and global lower extremity hyporeflexia. MRI showed hypersignal in the anterior spinal cord, suggesting ischemia/infarction of the spinal cord in the territory of the anterior spinal artery. Although chemoembolization is considered a safe procedure, it is necessary to recognize its inherent risks such as spinal cord infarction, in order to avoid unnecessary risks in the patient. Despite being an extremely rare complication, its incidence increases gradually and its causes need to be studied as it is potentially fatal.

Keywords : Spinal cord ischemia; Embolization; Breast Neoplasms; Magnetic Resonance Imaging. (Source: MeSH - NLM).

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