title: Endovascular angioplasty before resection of a sphenoidal meningioma with vascular encasement.
abstract: We describe a case of sphenoid wing meningioma presenting with cerebral infarction due to extended vascular encasement in which endovascular angioplasty was performed before surgery to avoid perioperative ischemia. A severe stenosis involved the intracranial internal carotid artery and the proximal segments of the middle and anterior cerebral arteries. Endovascular dilatation was followed by complete surgical resection. Preoperative mild aphasia and hemiparesia resolved completely after surgery. Endovascular angioplasty of arterial trunks and their branches can be proposed before the resection of skull base meningiomas encasing these arteries to decrease the risk of perioperative brain ischemia related to their surgical manipulation or vasospasm.
authors: Department of Neurosurgery, Centre Hospitalier Universitaire de Nice. Nice, France.
authors: N
authors: N
authors: Chivoret
authors: D
authors: D
authors: Fontaine
authors: S
authors: S
authors: Lachaud
authors: Y
authors: Y
authors: Chau
authors: J
authors: J
authors: Sedat
mesh_terms: D000328:Adult; D017130:Angioplasty / Q000379:methods*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002548:Cerebral Revascularization / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000098:blood supply / Q000150:complications / Q000601:surgery*; D008579:Meningioma / Q000098:blood supply / Q000150:complications / Q000601:surgery*; D013100:Sphenoid Bone