Cerebral lipiodol embolism proven by dual-energy computed tomography: a case report.
We report a case of cerebral lipiodol embolism after transarterial chemoembolization of hepatocellular carcinoma, which was confirmed by dual-energy computed tomography (CT). A 44-year-old male patient developed left leg weakness after transarterial chemoembolization for hepatocellular carcinoma. The noncontrast CT scan of his brain revealed multiple high-attenuating lesions scattered along the gyral surface of the both cerebral hemispheres; meanwhile, the lesions disappeared on the iodine-removed virtual noncontrast images generated from dual-energy CT.
Lee
Chul Seung
CS
Department of Radiology, University of Ulsan College of Medicine, Seoul, South Korea.
Kim
Sang Joon
SJ
Choi
Jin Woo
JW
Choi
Choong Gon
CG
Lee
Deok Hee
DH
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D054022:Cerebrum / Q000000981:diagnostic imaging; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D020766:Intracranial Embolism / Q000139:chemically induced / Q000000981:diagnostic imaging*; D007459:Iodized Oil / Q000009:adverse effects*; D007866:Leg; D008113:Liver Neoplasms / Q000628:therapy*; D008297:Male; D018908:Muscle Weakness / Q000209:etiology; D011859:Radiography
D003287:Contrast Media; D007459:Iodized Oil