Cement-embolic stroke associated with vertebroplasty.
Major neurologic morbidity and mortality with vertebroplasty are rare. We describe a 71-year-old woman who had a stroke approximately 30 minutes after vertebroplasty. Imaging revealed that bone cement had embolized to the left middle cerebral artery. Emergency embolectomy was attempted but was unsuccessful. This report emphasizes the need to be aware that intracranial embolization of polymethylmethacrylate can occur and describes management strategies to consider.
Marden
F A
FA
Department of Radiology, Inova Fairfax Hospital, Falls Church, VA, USA. mardenf@alexian.net
Putman
C M
CM
D000368:Aged; D001843:Bone Cements / Q000009:adverse effects*; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging* / Q000209:etiology*; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011859:Radiography; D020521:Stroke / Q000000981:diagnostic imaging* / Q000209:etiology*; D054854:Vertebroplasty / Q000009:adverse effects*
D001843:Bone Cements; D019904:Polymethyl Methacrylate