Wangqin Runqi, Xu Kaya, Rojas Haydy, Ren Zeguang
1 Department of Neurology, Duke University Medical Center, Durham, NC, USA.
2 Department of Neurological Surgery, University of South Florida, Tampa, USA.
Interv Neuroradiol. 2019 Jun;25(3):330-334. doi: 10.1177/1591019918810534. Epub 2018 Nov 8.
Treatment options for aneurysmal bone cysts include intralesional curettage, segmental excision, en bloc resection and endovascular embolization. The most commonly used treatment is intralesional curettage and selective arterial embolization is normally an adjunctive therapy, not a definitive treatment. We report a case of a C1 lateral mass aneurysmal bone cyst treated with a single session of endovascular embolization. Long-term follow up demonstrated complete resolution of the cyst. A study of aneurysmal bone cyst embolization was conducted and the key points for obtaining maximal devascularization of the cyst along with embolic material and technique are discussed.
动脉瘤样骨囊肿的治疗选择包括病灶内刮除、节段性切除、整块切除和血管内栓塞。最常用的治疗方法是病灶内刮除,选择性动脉栓塞通常作为辅助治疗,而非确定性治疗。我们报告一例C1侧块动脉瘤样骨囊肿采用单次血管内栓塞治疗的病例。长期随访显示囊肿完全消退。我们进行了一项关于动脉瘤样骨囊肿栓塞的研究,并讨论了实现囊肿最大程度去血管化的关键点以及栓塞材料和技术。