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NEUROLOGY 2004;63:181-183
© 2004 American Academy of Neurology
Brief Communications

Cerebral lipiodol embolism during transcatheter arterial chemoembolization

K. M. Yoo, MD PhD, B. G. Yoo, MD PhD, K. S. Kim, MD PhD, S. U. Lee, MD PhD and B. H. Han, MD PhD

From the Departments of Neurology (Drs. K.M. Yoo, B.G. Yoo, and Kim) and Internal Medicine (Drs. Lee and Han), Kosin University College of Medicine, Busan, Korea.

Address correspondence and reprint requests to Dr. Kyung Moo Yoo, Department of Neurology, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan, Korea; e-mail: neyoo{at}ns.kosinmed.or.kr

Cerebral lipiodol embolism (CLE) is a rare complication that may occur during chemoembolization. The authors present three cases of CLE during transcatheter arterial chemoembolization for hepatocellular carcinoma. Multiple small nonconfluent hyperintense intracerebral lesions were found on the diffusion-weighted and fluid-attenuated inversion recovery MRI. Clinical signs completely resolved and MRI lesions markedly improved on follow-up evaluation within a 3-week period.

Received October 6, 2003. Accepted in final form February 13, 2004.




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