脑动静脉畸形栓塞术后迟发性脑炎1例并文献复习

目的 探讨栓塞材料相关性脑炎这一罕见不良反应的诊断和治疗。方法 回顾性分析脑动静脉畸形(brain arteriovenous malformations,BAVM)栓塞术后出现迟发性脑炎患者1例,并复习相关文献。结果 患者男性,52岁,BAVM栓塞术后1个月内先后出现全身皮疹及左侧肢体无力,抗病毒治疗无效,排除其他疾病后考虑患者为栓塞材料相关的迟发性脑炎,经激素治疗后患者痊愈。结论 血管内栓塞治疗可诱发严重的中枢神经系统迟发性炎症反应,有必要对患者延长术后随访期限。

Delayed encephalitis after embolization of brain arteriovenous malformations: A case report and literature review

Objective To investigate the diagnosis and treatment of the rare embolic material-associated encephalitis. Methods Clinical data of a patient with delayed encephalitis after embolization of brain arteriovenous malformations (BAVM) were analyzed retrospectively, and the relevant literature was reviewed. Results The 52-year-old male patient with BAVM developed systemic rash and left-sided weakness within 1 mouth after embolization. The symptoms were gradually worsen after antiviral infection. After excluding other diseases, the patient was considered as delayed encephalitis associated with embolic materials, who was cured by a hormone therapy. Conclusion Endovascular embolization can induce severe delayed inflammatory response in the central nervous system. It is necessary to prolong the postoperative follow-up period of patients.