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Asymptomatic Stroke After Hyaluronic Acid Filler Injection: Case Report and Literature Review

Asymptomatic Stroke After Hyaluronic Acid Filler Injection: Case Report and Literature Review

Authors :
Ryan M. Moore
Allison C. Hu
Melissa A Mueller
Gregory R. D. Evans
Source :
Aesthetic surgery journal. 41(6)
Publication Year :
2020

Abstract

Vascular compromise and blindness are reported but rare complications of facial soft tissue filler injections. Stroke is an even rarer complication resulting from intraarterial injection of fillers. We present a case of a patient suffering all 3 complications following hyaluronic acid filler injection: forehead skin vascular compromise, unilateral blindness, and ipsilateral subclinical strokes. Were it not for a stroke workup protocol, the incidental strokes may have otherwise gone undetected, suggesting the incidence of stroke from intraarterial injection may be higher than reported. Further, we review the literature and recommendations for prevention and management of threatened tissue ischemia and vision loss from facial filler injection. Level of Evidence: 5

Details

ISSN :
1527330X
Volume :
41
Issue :
6
Database :
OpenAIRE
Journal :
Aesthetic surgery journal
Accession number :
edsair.doi.dedup.....7ebcd0db199ac968ffe16592cf2aea1c