Direct intraoperative sclerotherapy of an aneurysmal bone cyst of the sphenoid.
A young boy presented with a symptomatic aneurysmal bone cyst of the left great wing of the sphenoid bone. Arterial embolization had failed to produce thrombosis, and the lesion could not be resected surgically. Direct intraoperative sclerotherapy resulted in immediate thrombosis of 80% of the volume of the vascular malformation with no progression of symptoms. Two years later, the symptoms had completely resolved, and CT scans showed total ossification of the lesion.
Chartrand-Lefebvre
C
C
Department of Radiology, Hôpital Sainte-Justine, Montréal, Québec, Canada.
Dubois
J
J
Roy
D
D
Mercier
C
C
Raymond
J
J
D001165:Arteriovenous Malformations / Q000628:therapy; D017824:Bone Cysts, Aneurysmal / Q000000981:diagnostic imaging / Q000628:therapy*; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D004659:Enbucrilate / Q000627:therapeutic use*; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D010012:Osteogenesis; D011142:Polyvinyl Alcohol / Q000627:therapeutic use; D015641:Radiography, Interventional; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D015911:Sclerotherapy; D013100:Sphenoid Bone / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016896:Treatment Outcome
D012597:Sclerosing Solutions; D011142:Polyvinyl Alcohol; D004659:Enbucrilate