J Korean Neurosurg Soc.  1998 Apr;27(4):511-515.

Brain Abscess After Hepatic Artery Chemoembolization for Hepatocellular Carcinoma: Case Report

• Cho TH
• Kang SH
• Park JY
• Kwon TH
• Chung YG
• Lee HK

Abstract

We describe a case of brain abscess which developed in a 64-year-old man after hepatic artery chemoem-bolization(HACE) for hepatocellular carcinoma(HCC).On his first admission, percutaneous liver biopsy led to a diagnosis of type-C liver cirrhosis, he readmitted 5 years later and HCC was diagnosed. The patient underwent two HACE procedures, with a two-month interval. Three month later, he was readmitted to hospital with headache and brief loss of consciousness; brain magnetic resonance imaging(MRI) revealed a brain abscess. Stereotactic aspiration was performed and antibiotics sensitive to the klebsiella pneumonia bacteria cultured in the abscess were administrated intraveously. One month later, the abscess size became smaller and the patient was discharged. This report reviews the literature and discusses the pathogenesis of brain abscess after intra-arterial embolization.

Keyword

Brain abscess; Hepatic artery chemoembolization

MeSH Terms

Abscess
Anti-Bacterial Agents
Bacteria
Biopsy
Brain Abscess*
Brain*
Carcinoma, Hepatocellular*
Diagnosis
Headache
Hepatic Artery*
Humans
Klebsiella
Liver
Liver Cirrhosis
Middle Aged
Pneumonia
Unconsciousness
Anti-Bacterial Agents