title: Cerebral lipiodol embolism proven by dual-energy computed tomography: a case report.
abstract: 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.
authors.affiliation: Department of Radiology, University of Ulsan College of Medicine, Seoul, South Korea.
authors.forename: Chul Seung
authors.initials: CS
authors.lastname: Lee
authors.forename: Sang Joon
authors.initials: SJ
authors.lastname: Kim
authors.forename: Jin Woo
authors.initials: JW
authors.lastname: Choi
authors.forename: Choong Gon
authors.initials: CG
authors.lastname: Choi
authors.forename: Deok Hee
authors.initials: DH
authors.lastname: Lee
mesh_terms: 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
chemical_list: D003287:Contrast Media; D007459:Iodized Oil