Cerebrovascular infarction after cosmetic facial injections: a case report and literature review
10.3760/cma.j.issn.1009-4598.2017.03.001
- VernacularTitle: 面部注射充填引起脑血管意外一例报告及文献回顾
- Author:
Chenyu WANG
1
;
Xiaojun WANG
;
Nanze YU
;
Xiao LONG
;
Hailin ZHANG
Author Information
1. Division of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100730, China
- Publication Type:Clinical Trail
- Keywords:
Cosmetic facial injection;
Autologous fat;
Cerebrovascular accident
- From:
Chinese Journal of Plastic Surgery
2017;33(3):162-166
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To report a case who had cerebral hemorrhage after facial injection with hyaluronic acid and to present the literature review about cerebrovascular infarction after cosmetic facial injection.
Methods:Articles were collected from domestic and overseas database, with the key word of "filler injection, autologous fat, hyaluronic acid, stroke, cerebrovascular disease, cerebral embolism" from 1990 January to 2016 July. Information about researchers, patients, injection, complication, therapy and prognosis was collected.
Results:The analysis shows cases are mostly reported by South Korea among the 18 articles in total (20 cases). 81% of injection material is autologous fat and the rest is hyaluronic acid.Glabella is mostly injected(n=9). Symptoms of cerebrovascular infarction are paralysis(n=15), disturbance of consciousness(n=7) and aphasia(n=5), whose onset were mostly within the operation(47%, n=8). 81% cases were combined with blindness. Infarction positions mostly were middle cerebral artery(n=14), anterior cerebral artery(n=6), frontal lobe(n=6)and parietal lobe(n=5). Meanwhile, there were three cases combined with cerebral hemorrhage including the case we reported in this article. Blind patients had poor prognosis while the other neurologic symptoms mostly could be improved.
Conclusions:Cerebrovascular infarction is a rarely severe complication of cosmetic facial injection, which we should pay close attention to.
