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小脑成血管细胞瘤的术前血管内栓塞术。病例报告。

Pre-operative endovascular embolization of a cerebellar haemangioblastoma. A case report.

作者信息

Abo-Al Hassan A, Ismail M, Panda S M

机构信息

Department of Neurosurgery, Ibn Sina Hospital, Kuwait.

出版信息

Med Princ Pract. 2006;15(6):459-62. doi: 10.1159/000095495.

Abstract

OBJECTIVE

To present an interesting case of pre-operative embolization of a cerebellar haemangioblastoma.

CLINICAL PRESENTATION AND INTERVENTION

A 36-year-old male presented with gradual, progressive headache and a positive family history of von Hippel-Lindau syndrome. MRI of the brain revealed a right cerebellar solid mass and cerebral angiography demonstrated its extensive hypervascular nature. The mass was embolized with polyvinyl alcohol prior to surgical resection, which resulted in improvement of the patient's symptoms.

CONCLUSION

Pre-operative embolization of a haemangioblastoma is a useful procedure that can potentially decrease the morbidity and mortality of its surgical resection.

摘要

目的

介绍一例小脑成血管细胞瘤术前栓塞的有趣病例。

临床表现与干预

一名36岁男性,出现渐进性头痛,且有冯·希佩尔-林道综合征家族史阳性。脑部MRI显示右侧小脑实性肿块,脑血管造影显示其具有广泛的高血管性质。在手术切除前用聚乙烯醇对肿块进行了栓塞,这使患者症状得到改善。

结论

成血管细胞瘤术前栓塞是一种有用的操作,有可能降低其手术切除的发病率和死亡率。

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