Single-stage operation for a giant haemangiopericytoma following intracranial feeder embolization.
Meningeal haemangiopericytomas (HPC) are malignant intracranial neoplasms that commonly recur and metastasize. Large size at diagnosis, abundant intracranial feeders and the risk of intraoperative bleeding can make them difficult to completely remove in one operation. We report here a rare case of a giant HPC which was treated successfully using a one-stage operation following superselective intracranial feeder occlusion. A 30-year-old man presented with a left middle cranial fossa tumour extending to the left temporal lobe and cerebellar tentorium. Angiography revealed supply from a dilated left posterior temporal artery branching from the posterior cerebral artery. The tumour was totally removed in a single-stage excision after embolization of the intracranial major feeding artery. The present case suggests the usefulness of preoperative embolization for HPC, particularly of intracranial feeders, to achieve total resection safely in a single operation.
Matsushige
Toshinori
T
Department of Neurosurgery, Matsue Red Cross Hospital, 200 Horo-machi, Matsue, Shimane 690-8506, Japan. h-k1122@m3.dion.ne.jp
Nakaoka
Mitsuo
M
Yahara
Kaita
K
Shinagawa
Katsuhiro
K
Ohnuma
Hideyuki
H
Shibukawa
Masaaki
M
Ohba
Shinji
S
Kurisu
Kaoru
K
D000328:Adult; D001932:Brain Neoplasms / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D006393:Hemangiopericytoma / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013699:Temporal Arteries / Q000601:surgery*; D016896:Treatment Outcome