Isolated vertebral bone infarction following lumbar artery embolization- a case report.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI:10.1007/s00586-024-08507-z

Jakob Steiner, Michael Janisch, Marton Magyar, Michael Fuchsjäger, Gabriel Adelsmayr

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引用次数: 0

Abstract

Purpose: To report a rare case of isolated lumbar vertebral body infarction following lumbar artery embolization for suspected retroperitoneal haemorrhage.

Methods: We present the case of a 75-year-old male who underwent lumbar artery embolization due to a suspected retroperitoneal haemorrhage post-surgery. Magnetic resonance imaging (MRI) was performed to monitor post-embolization severe lumbar pain.

Results: Initial MRI two days post-embolization showed no osseous signal changes or epidural abscess. A subsequent MRI 26 days post-embolization was performed because of increasing lumbar back pain and it revealed a new bone infarction at the L3 vertebral body. CT showed embolization deposits within the vertebral body, not present before the procedure.

Conclusion: This unique case underscores the importance of considering vertebral body infarction as a potential complication following lumbar artery embolization. MRI was critical in early detection of the bone infarction, while CT confirmed the presence of embolization material. Awareness of this rare complication is crucial for prompt diagnosis and management.

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腰动脉栓塞术后孤立性椎骨梗塞--一例报告。

目的：报告一例因怀疑腹膜后出血而进行腰动脉栓塞术后发生孤立性腰椎椎体梗死的罕见病例：本病例为一名 75 岁男性，因怀疑手术后腹膜后出血而接受腰动脉栓塞术。磁共振成像（MRI）用于监测栓塞后剧烈腰痛的情况：栓塞术后两天的首次磁共振成像显示没有骨性信号变化或硬膜外脓肿。栓塞后 26 天，由于腰背疼痛加剧，又进行了一次核磁共振成像检查，结果显示 L3 椎体出现新的骨梗塞。CT 显示椎体内有栓塞沉积物，而手术前并不存在：结论：这一特殊病例强调了将椎体梗死视为腰动脉栓塞术后潜在并发症的重要性。核磁共振成像对早期发现骨梗塞至关重要，而 CT 则证实了栓塞材料的存在。对这种罕见并发症的认识对于及时诊断和处理至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe