RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0042-1756626
Preoperative Transarterial Embolization of a Large Petrotentorial Angiomatous Meningioma Using Combination of Liquid Embolic Materials: A Case Report
Funding None.
Abstract
Intracranial angiomatous meningiomas are a rare WHO grade I histological variant of meningioma whose vascular component exceeds 50% of the total tumor area. Preoperative embolization of angiomatous meningiomas has rarely been reported previously. A 58-year-old woman was referred to our institute for a large petrotentorial hypervascular tumor presented with progressively worsening right facial paralysis and hearing loss for 6 months. Cranial computed tomography scan and magnetic resonance imaging revealed a large homogenously enhancing multilobulated mass involving middle and posterior cranial fossae with marked brainstem compression. The tumor extended into a right internal auditory canal and labyrinthine structures with destructive changes of bony structures. Magnetic resonance angiography showed hypervascularity in the tumor. Preoperative transarterial embolization using liquid embolic materials was successfully performed with resulting in almost complete devascularization of the tumor. Adequate hemostasis was achieved following gross total resection of the tumor (Simpson grade II). A histopathological examination confirmed the diagnosis of an angiomatous meningioma. Preoperative transarterial embolization of angiomatous meningioma with liquid embolic material was safe and effective in reducing perioperative blood loss and facilitating total tumor resection.
Publikationsverlauf
Artikel online veröffentlicht:
08. Oktober 2022
© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Hasselblatt M, Nolte KW, Paulus W. Angiomatous meningioma: a clinicopathologic study of 38 cases. Am J Surg Pathol 2004; 28 (03) 390-393
- 2 Hua L, Luan S, Li H. et al. Angiomatous meningiomas have a very benign outcome despite frequent peritumoral edema at onset. World Neurosurg 2017; 108: 465-473
- 3 Bashar M, Sohail W, Khan M, Yaqoob U. Angiomatous meningioma presenting with depression: a case report and literature review. Case Rep Clin Med 2020; 9: 22-28
- 4 Liu Z, Wang C, Wang H, Wang Y, Li JY, Liu Y. Clinical characteristics and treatment of angiomatous meningiomas: a report of 27 cases. Int J Clin Exp Pathol 2013; 6 (04) 695-702
- 5 Yang L, Ren G, Tang J. Intracranial angiomatous meningioma: a clinicopathological study of 23 cases. Int J Gen Med 2020; 13: 1653-1659
- 6 Iampreechakul P, Tirakotai W, Lertbutsayanukul P, Siriwimonmas S, Liengudom A. Pre-operative embolization of intracranial and extracranial tumors: a review of 37 cases. J Med Assoc Thai 2016; 99 (Suppl. 03) S91-S119
- 7 Ben Nsir A, Chabaane M, Krifa H, Jeme H, Hattab N. Intracranial angiomatous meningiomas: a 15-year, multicenter study. Clin Neurol Neurosurg 2016; 149: 111-117
- 8 Chiechi MV, Smirniotopoulos JG, Mena H. Intracranial hemangiopericytomas: MR and CT features. AJNR Am J Neuroradiol 1996; 17 (07) 1365-1371
- 9 Meng Y, Chaohu W, Yi L, Jun P, Songtao Q. Preoperative radiologic characters to predict hemangiopericytoma from angiomatous meningioma. Clin Neurol Neurosurg 2015; 138: 78-82
- 10
Louis DN,
Perry A,
Reifenberger G.
et al.
The 2016 World Health Organization Classification of Tumors of the Central Nervous
System: a summary. Acta Neuropathol 2016; 131 (06) 803-820
MissingFormLabel
- 11 Rossitti S. Preoperative embolization of lower-falx meningiomas with ethylene vinyl alcohol copolymer: technical and anatomical aspects. Acta Radiol 2007; 48 (03) 321-326
- 12 Szatmáry Z, Hillman J, Finitsis S. Meningioma embolization with the pressure cooker technique using Squid 12. Interv Neuroradiol 2017; 23 (04) 441-443
- 13 Shi ZS, Feng L, Jiang XB, Huang Q, Yang Z, Huang ZS. Therapeutic embolization of meningiomas with Onyx for delayed surgical resection. Surg Neurol 2008; 70 (05) 478-481
- 14 Akmangit I, Daglioglu E, Kaya T. et al. Preliminary experience with squid: a new liquid embolizing agent for AVM, AV fistulas and tumors. Turk Neurosurg 2014; 24 (04) 565-570
- 15 Venturini M, Lanza C, Marra P. et al. Transcatheter embolization with Squid, combined with other embolic agents or alone, in different abdominal diseases: a single-center experience in 30 patients. CVIR Endovasc 2019; 2 (01) 8
- 16 Moreno-Paredes S, Rodríguez-Alcalá L, Martín-Lagos Martínez J. et al. Facial palsy after embolization with Squid® 12. BMC Neurol 2021; 21 (01) 45
- 17 Hirohata M, Abe T, Fujimura N, Takeuchi Y, Shigemori M. Preoperative embolization of brain tumor with pial artery or dural branch of internal carotid artery as feeding artery. Interv Neuroradiol 2006; 12 (Suppl. 01) 246-251
- 18 Tikkakoski T, Luotonen J, Leinonen S. et al. Preoperative embolization in the management of neck paragangliomas. Laryngoscope 1997; 107 (06) 821-826
- 19 Kim LJ, Albuquerque FC, Aziz-Sultan A, Spetzler RF, McDougall CG. Low morbidity associated with use of n-butyl cyanoacrylate liquid adhesive for preoperative transarterial embolization of central nervous system tumors. Neurosurgery 2006; 59 (01) 98-104 , discussion 98–104