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Korean J Helicobacter  Up Gastrointest Res > Volume 16(2); 2016 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2016;16(2):103-106.
DOI: https://doi.org/10.7704/kjhugr.2016.16.2.103    Published online June 10, 2016.
Spinal, Cerebral and Cerebellar Embolism after Injection of N-Butyl-2-Cyanoacrylate in Esophageal Variceal Bleeding
Jun Hee Bang, Seung Jae Jang, Young Gon Jung, Jong In Choi, Chang Kook Park, Ho Dong Kim
Department of Internal Medicine, St. Carollo Hospital, Suncheon, Korea. raphael65@hanmail.net
Abstract
We report a case of spinal, cerebral and cerebellar embolism that occurred following injection sclerotherapy with n-butyl-2-cyanoacrylate for variceal bleeding. The patient had been diagnosed with alcoholic liver cirrhosis and esophageal variceal bleeding. We performed injection sclerotherapy with n-butyl-2-cyanoacrylate. The patient complained of both leg motor weakness and left arm motor weakness after injection and was diagnosed with spinal, cerebral and cerebellar embolism following the n-butyl-2-cyanoacrylate injection. At the follow-up examination, the patient's neurologic symptoms had improved, but left leg motor weakness remained. To our knowledge, this is the first report of a case of multiple embolizations including the spine, cerebrum and cerebellum after n-butyl-2-cyanoacrylate injection for treatment of esophageal variceal bleeding.
Key Words: Spinal embolism; N-butyl-2-cyanoacrylate, Bleeding
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