Abstract
Spinal cord infarction is a rare but serious complication following transarterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). We report a case of a 33-year-old male with a history of chronic hepatitis B and multiple prior TACE sessions who developed acute paraplegia after undergoing another TACE procedure. With immediate administration of high-dose corticosteroids and supportive care, the patient had partial neurological recovery. This case highlights the importance of recognizing extrahepatic arterial supply and the potential neurological risks associated with TACE.