AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 2008;29:1986.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1159

SPINE

Cement-Embolic Stroke Associated with Vertebroplasty

F.A. Marden and C.M. Putman

From the Department of Radiology (F.A.M.), Inova Fairfax Hospital, Falls Church, Va; and Department of Neurosurgery (C.M.P.), George Washington University, Washington, DC.

Please address correspondence to F. Marden, MD, Department of Interventional Neuroradiology, Alexian Brothers Medical Center, 800 Biesterfield Rd, Eberle Bldg, Suite 610, Elk Grove Village, IL 60007; e-mail: mardenf{at}alexian.net

SUMMARY: Major neurologic morbidity and mortality with vertebroplasty are rare. We describe a 71-year-old woman who had a stroke approximately 30 minutes after vertebroplasty. Imaging revealed that bone cement had embolized to the left middle cerebral artery. Emergency embolectomy was attempted but was unsuccessful. This report emphasizes the need to be aware that intracranial embolization of polymethylmethacrylate can occur and describes management strategies to consider.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X