Sunday, April 9, 2017

Case; 48 year old male presented to ICU with massive hemoptysis. Patient was intubated, stabilized and send for arterial embolization. Patient woke up from sedation with paraplegia?


Explanation: In about 5 percent of the population anterior spinal artery arises from a bronchial artery. Proximal embolization of the bronchial artery may cause paraplegia. Extreme caution should be taken and procedure should be performed by an experienced and a  trained intervention radiologist.



Reference: 

Anthony C. Brown, M.D. and Charles E. Ray, M.D., Ph.D. - Anterior Spinal Cord Infarction following Bronchial Artery Embolization - Semin Intervent Radiol. 2012 Sep; 29(3): 241–244

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