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PMID- 29718871
DCOM- 20180508
LR  - 20180508
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 18
DP  - 2018 May
TI  - Neurological symptoms and spinal cord embolism caused by endoscopic injection
      sclerotherapy for esophageal varices: A case report and literature review.
PG  - e0622
LID - 10.1097/MD.0000000000010622 [doi]
AB  - RATIONALE: Spinal cord embolism is a rare complication of endoscopic injection
      sclerotherapy (EIS). PATIENT CONCERNS: We report a case of a 56-year-old man who 
      presented neurological symptoms and spinal cord embolism caused by EIS on
      esophageal varices. Clinical signs and symptoms, laboratory tests, thoracic
      magnetic resonance imaging (MRI), and related treatment supported its diagnosis. 
      DIAGNOSES:: spinal cord embolism. INTERVENTIONS: We stopped the hemostatic and
      anti-coagulation treatment, and switched to nerve nutrition, microcirculation,
      and hormone therapy, along with administering gastric mucosal protective agents. 
      OUTCOMES: The all patient's signs and symptoms and signs of spinal cord embolism 
      were all relieved within 3 months after the clinical treatment. LESSONS: We
      recommend that neurological symptoms after EIS in patients with esophageal
      varices should be considered a rare complication. Life-threatening conditions
      could be avoided by an accurate and timely diagnosis.
FAU - Liu, Shiqian
AU  - Liu S
AD  - Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei
      Province, P.R. China.
FAU - Wu, Nannan
AU  - Wu N
FAU - Chen, Mingkai
AU  - Chen M
FAU - Zeng, Xi
AU  - Zeng X
FAU - Wang, Fang
AU  - Wang F
FAU - She, Qian
AU  - She Q
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Sclerosing Solutions)
SB  - IM
MH  - Embolism/diagnosis/*etiology/therapy
MH  - Endoscopy/*adverse effects
MH  - Esophageal and Gastric Varices/*therapy
MH  - Humans
MH  - Hypesthesia/etiology
MH  - Injections/adverse effects
MH  - Lower Extremity
MH  - Male
MH  - Middle Aged
MH  - Muscle Weakness/etiology
MH  - Sclerosing Solutions/administration & dosage
MH  - Sclerotherapy/*adverse effects/*methods
MH  - Spinal Cord/*blood supply
EDAT- 2018/05/03 06:00
MHDA- 2018/05/09 06:00
CRDT- 2018/05/03 06:00
PHST- 2018/05/03 06:00 [entrez]
PHST- 2018/05/03 06:00 [pubmed]
PHST- 2018/05/09 06:00 [medline]
AID - 10.1097/MD.0000000000010622 [doi]
AID - 00005792-201805040-00039 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(18):e0622. doi: 10.1097/MD.0000000000010622.