Stroke from delayed embolization of polymerized glue following percutaneous direct injection of a carotid body tumor.
A 52-year-old male with right carotid body tumor underwent direct percutaneous glue (n-butylcyanoacrylate [NBCA]) embolization. Several hours later, he developed left hemiparesis from embolization of the polymerized glue cast. Migration of glue during percutaneous tumor embolization is presumed to occur only in the liquid state, which may lead to stroke or cranial nerve deficits. To the best of our knowledge, this is the first report of delayed glue embolization from a treated hypervascular tumor of the head and neck.
Krishnamoorthy
Thamburaj
T
Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. b_krish1@yahoo.co.in
Gupta
Arun Kumar
AK
Rajan
Jayadevan E
JE
Thomas
Bejoy
B
D002345:Carotid Body Tumor / Q000098:blood supply / Q000628:therapy*; D003487:Cyanoacrylates / Q000008:administration & dosage / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000209:etiology*
D003487:Cyanoacrylates; D004659:Enbucrilate