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Related Experiment Video

Updated: Jun 20, 2026

Enrichment of Mammalian Tissues and Xenopus Oocytes with Cholesterol
10:12

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Published on: March 25, 2020

Polyneuropathy associated with cholesterol crystal embolism.

Matthias Klein1, B Hartmann, H J Groene

  • 1Department of Neurology, University Hospital Munich-Grosshadern, Ludwig-Maximilian University, Marchioninistr. 15, 81377, Munich, Germany. matthias.klein@med.uni-muenchen.de

Neurocritical Care
|September 24, 2009
PubMed
Summary

Cholesterol crystal embolism, a rare complication of arterial catheterization, can cause severe axonal nerve injury and polyneuropathy. This condition should be considered in patients presenting with multiorgan disease and neurological symptoms post-procedure.

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Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Nephrology

Background:

  • Cholesterol crystal embolism is a known complication of arterial catheterization.
  • It typically manifests as a multiorgan disease affecting kidneys, abdomen, and skin.

Observation:

  • A patient with hypertension and arteriosclerosis developed muscle weakness, extremity pain, and renal failure post-coronary catheterization.
  • Neurological symptoms progressed over months, indicating severe axonal nerve injury.

Findings:

  • Nerve conduction studies and biopsy confirmed severe axonal nerve injury.
  • Kidney biopsy definitively diagnosed cholesterol crystal embolism.

Implications:

  • Cholesterol crystal embolism is a potential cause of acute polyneuropathy.
  • Consider this diagnosis in patients with polyneuropathy and multiorgan disease after arterial procedures.