title: Spinal cord ischemia secondary to transcatheter arterial chemoembolization for hepatocellular carcinoma.
abstract: Transcatheter arterial chemoembolization (TACE) is accepted worldwide as an effective treatment for patients with unresectable hepatocellular carcinoma. Although considered relatively safe, TACE has been associated with several complications. Spinal cord ischemia secondary to TACE is an extremely rare but disastrous complication. We report a very rare case of spinal cord injuries after TACE, together with a literature review. During the procedure, the patient suddenly experienced sensory impairment below the T10 dermatome and bilateral lower extremity motor weakness. She was given high-dose steroids and supportive therapy. The sensory deficits nearly improved completely, but motor strength remained unchanged. Thereafter, a chest computed tomography scan showed tumor metastasis to the lungs. The patient is now receiving sorafenib and follow-up.
authors.affiliation: Department of Medical Oncology, Military Hospital My Ismail, Meknès.
authors.forename: Aziz
authors.initials: A
authors.lastname: Bazine
authors.affiliation: Department of Medical Oncology, Military Hospital My Ismail, Meknès.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Fetohi
authors.affiliation: Departments of Neurology, Military Hospital Med V, Rabat, Morocco.
authors.forename: Maha Ait
authors.initials: MA
authors.lastname: Berri
authors.affiliation: Departments of Medical Oncology, Military Hospital Med V, Rabat, Morocco.
authors.forename: Ismail
authors.initials: I
authors.lastname: Essaadi
authors.affiliation: Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco.
authors.forename: Kamal
authors.initials: K
authors.lastname: Elbakraoui
authors.affiliation: Departments of Medical Oncology, Military Hospital Med V, Rabat, Morocco.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ichou
authors.affiliation: Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco.
authors.forename: Hassan
authors.initials: H
authors.lastname: Errihani
keywords: Hepatocellular carcinoma; Paraplegia; Spinal cord ischemia; Transcatheter arterial chemoembolization