Cerebral lipiodol embolisation is a rare but serious complication of lymphangiography. A man in his seventies had undergone lymphangiography for a refractory chyle leak following oesophagectomy. The day after lymphangiography, his conscious level dropped with bilaterally miotic pupils, increased muscle tone and double incontinence. CT scan of the head showed patchy high density throughout basal ganglia, cortex and cerebellum but no infarct, in keeping with lipiodol embolisation. He was managed initially in intensive care and subsequently underwent thoracoscopy with clipping and suturing of the left thoracic duct, and later a talc pleurodesis. At 3 months, he had some cognitive limitations and was walking with a stick. All data relevant to the study are included in the article.

中文翻译：

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脑碘油栓塞术

脑碘油栓塞术是一种罕见但严重的淋巴管造影并发症。一名 70 多岁的男子因食管切除术后难治性乳糜漏接受了淋巴管造影。淋巴管造影后的第二天，他的意识水平下降，双侧瞳孔缩小，肌张力增加和双重尿失禁。头部 CT 扫描显示整个基底节、皮质和小脑的片状高密度，但没有梗死，与碘油栓塞一致。他最初在重症监护室接受治疗，随后接受了胸腔镜检查，夹闭和缝合左胸导管，后来进行了滑石粉胸膜固定术。在 3 个月大时，他出现了一些认知障碍，并且正在拄着拐杖走路。所有与研究相关的数据都包含在文章中。