# Spinal Cord Infarction After Transarterial Chemoembolization for Hepatocellular Carcinoma: A Case Report

**Authors:** Tho Tran Dinh, Sy Than Van, Vinh Chu Van, Phuc Chu Minh

PMC · DOI: 10.7759/cureus.85147 · 2025-05-31

## TL;DR

A 33-year-old man developed spinal cord infarction after a liver cancer treatment, showing the rare but serious neurological risks of this procedure.

## Contribution

Reports a rare case of spinal cord infarction following transarterial chemoembolization for hepatocellular carcinoma.

## Key findings

- A patient developed acute paraplegia after undergoing transarterial chemoembolization.
- The patient showed partial neurological recovery with corticosteroid treatment and supportive care.
- The case emphasizes the need to consider extrahepatic arterial supply during the procedure.

## Abstract

Spinal cord infarction is a rare but serious complication following transarterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). We report a case of a 33-year-old male with a history of chronic hepatitis B and multiple prior TACE sessions who developed acute paraplegia after undergoing another TACE procedure. With immediate administration of high-dose corticosteroids and supportive care, the patient had partial neurological recovery. This case highlights the importance of recognizing extrahepatic arterial supply and the potential neurological risks associated with TACE.

## Linked entities

- **Diseases:** hepatocellular carcinoma (MONDO:0007256), chronic hepatitis B (MONDO:0005344), paraplegia (MONDO:0003757)

## Full-text entities

- **Diseases:** Spinal Cord Infarction (MESH:D007238), HCC (MESH:D006528), paraplegia (MESH:D010264), chronic hepatitis B (MESH:D019694)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12208718/full.md

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Source: https://tomesphere.com/paper/PMC12208718