Rehabilitation of Spinal Cord Injury Occured after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma via Inferior Phrenic Artery:A Case Report / 中国康复理论与实践

ABSTRACT

Objective To further explore the complication of spinal cord injury occured after transcatheter arterial chemoemboliza-tion(TACE)for hepatocellular carcinoma via inferior phrenic artery. Methods The clinical and imaging data of one patient with spinal cord injury caused by TACE for hepatocellular carci-noma via inferior phrenic artery was retrospectively analyzed.The pathologic mechanism,risk factors and out-come of rehabilitative treatment were discussed after literature review. Results The abnormal opening of communicating branches between inferior phrenic artery and spinal cord blood supply-ing was the underlying mechanism inducing spinal cord injury after TACE. The risk factors included contrast agent,chemotherapy drug,embolic agent,and multiple interventional therapy,etc.Most patients returned almost to normal state within several months after early rehabilitation. Conclusion Spinal cord injury occurred after TACE for hepatocellular carcinoma via inferior phrenic artery is an ex-tremely rare complication.Most patients have a favorable outcome with early detection and timely rehabilitation.