title: [Values and limitations of embolization in cervical paragangliomas. Definition of a new diagnostic strategy. Apropos of 20 cases].
abstract: From 1966 to 1986, twenty cervical paragangliomas are treated by the authors: seven vagals and thirteen carotid one's. Seven patients out of these twenty underwent an embolisation during the pre-op arteriography. Studying the results, the authors show how much this embolisation increases the risk of a per-op carotid resection with by-pass, especially for the carotid localization. Dropping the embolisation, gives a chance for a new and, more acute diagnostic strategy, based on computerized tomography and digitalized arteriography. These exams should avoid the per-op discovery of these tumors in more than one half of the cases during an exploratory initial cervicotomy.
authors.affiliation: Service d'ORL, Hôpital Saint-Antoine, Paris.
authors.forename: F
authors.initials: F
authors.lastname: Chabolle
authors.forename: O
authors.initials: O
authors.lastname: Laccourreye
authors.forename: B
authors.initials: B
authors.lastname: Meyer
authors.forename: D
authors.initials: D
authors.lastname: Brasnu
authors.forename: H
authors.initials: H
authors.lastname: Laccourreye
authors.forename: C H
authors.initials: CH
authors.lastname: Chouard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography; D002340:Carotid Artery Diseases / Q000175:diagnosis; D002648:Child; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis; D004621:Embolization, Therapeutic; D005069:Evaluation Studies as Topic; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010236:Paraganglioma, Extra-Adrenal / Q000175:diagnosis*; D012189:Retrospective Studies; D014630:Vagus Nerve
vernacular_title: Intérêts et limites de l'embolisation dans les paragangliomes cervicaux. Définition d'une nouvelle stratégie diagnostique. A propos de 20 cas.