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颅底脑膜瘤栓塞过程中的陷阱及栓塞后的评估

Pitfalls during the Embolization and Evaluation after the Embolization for the Skull Base Meningiomas.

作者信息

Nishio A, Ohata K, Tsuyuguchi N, Gotoh T, Ishiguro T, Kawakami T, Hara M

机构信息

Department of Neurosurgery Osaka City University Graduate School of Medicine, Osaka; Japan -

出版信息

Interv Neuroradiol. 2006 Jan 20;12(Suppl 1):252-7. doi: 10.1177/15910199060120S146. Epub 2006 Jun 15.

Abstract

Pitfall during the embolization and evaluation after the embolization for skull base meningiomas supplied by meningeal arteries of internal carotid artery (ICA) are reported. This study includes 15 cases of skull base meningiomas (two males and 13 females) that supplied by meningeal branches of internal carotid artery. The preoperative embolization was performed by these feeders. MRI findings and serum levels of C-reactive protein (CRP) after the embolization were examined. In ten patients among 15 patients the meningeal branches of ICA were dominant feeders. In ten patients out of 15 patients, the embolization from the meningeal branches of ICA was possible. Eight patients out of these ten patients were suffered from high fever and increase of serum level of CRP after the embolization. During the embolization for skull base meningiomas, the existence of collateral pathways between the ICA system and external carotid artery system were identified. The increase of serum levels of CRP might be recognized in the patients that effective embolization were performed.

摘要

报告了经颈内动脉(ICA)脑膜支供血的颅底脑膜瘤栓塞术中及栓塞后的评估陷阱。本研究纳入15例经颈内动脉脑膜支供血的颅底脑膜瘤患者(2例男性,13例女性)。通过这些供血动脉进行术前栓塞。栓塞后检查MRI表现及血清C反应蛋白(CRP)水平。15例患者中有10例,颈内动脉脑膜支为主要供血动脉。15例患者中有10例,可经颈内动脉脑膜支进行栓塞。这10例患者中有8例在栓塞后出现高热及血清CRP水平升高。在颅底脑膜瘤栓塞术中,发现颈内动脉系统与颈外动脉系统之间存在侧支循环途径。在进行有效栓塞的患者中可能会出现血清CRP水平升高。

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