Document Detail

Preoperative embolization of meningiomas with pial supply: successful treatment of two cases.
MedLine Citation:
PMID:  10511085     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The efficacy of preoperative embolization for hypervascular meningiomas fed by the pial branches of the internal carotid artery was evaluated. METHODS: Two cases of hypervascular meningiomas fed by the cortical branches of the internal carotid arteries are presented. In the first patient, the left anterior frontal internal artery was embolized with gelatin sponge (Gelfoam) as a preoperative treatment using a microcatheter. The tumor was totally resected with 1,000 ml of blood loss. In the second patient, the right sulcal artery was embolized with Gelfoam. The patient subsequently underwent surgical resection with 100 mL of blood loss. RESULTS: No neurological deficit appeared after the embolization or the surgery in either case. CONCLUSION: Preoperative embolization of hypervascular meningiomas, mainly fed by the cortical branches of the internal carotid arteries, may be possible and effective.
T Kaji; Y Hama; Y Iwasaki; Y Kyoto; S Kusano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  52     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-13     Completed Date:  1999-10-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  270-3     Citation Subset:  IM    
Department of Radiology, National Defense Medical College, Saitama, Japan.
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MeSH Terms
Carotid Artery, Internal / radiography
Cerebral Angiography
Combined Modality Therapy
Embolization, Therapeutic* / methods
Meningeal Neoplasms / blood supply*,  surgery,  therapy*
Meningioma / blood supply*,  surgery,  therapy*
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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