Hackensack Meridian School of Medicine, Nutley, New Jersey, USA
Surgery, Morristown Medical Center, Morristown, New Jersey, USA.
BMJ Case Rep. 2024 Apr 8;17(4):e257848. doi: 10.1136/bcr-2023-257848.
A woman in her late 50s with a left frontal lobe convexity meningioma underwent an elective endovascular embolisation of the left middle meningeal artery and distal branches of the left superficial temporal artery prior to surgical resection of the tumour. On postoperative day 46, she developed scalp necrosis, leading to poor wound healing requiring wound debridement and a complex plastic surgery reconstruction with a rotational flap. Endovascular embolisation of vascular tumours prior to surgical resection does not come without risks. The lack of consistency in the literature regarding indication, technique and outcomes makes it difficult to define the exact role of preoperative meningioma embolisation.
一位 50 多岁的女性，患有左额叶凸面脑膜瘤，在手术切除肿瘤前，接受了选择性的左-middle meningeal artery 和左-superficial temporal artery 远端分支的血管内栓塞。术后第 46 天，她出现头皮坏死，导致伤口愈合不良，需要清创和复杂的整形外科重建，采用旋转皮瓣。血管肿瘤的血管内栓塞在手术切除前并非没有风险。由于文献中关于适应症、技术和结果的一致性不足，使得术前脑膜瘤栓塞的确切作用难以确定。
