Cystic angiomatosis skull lesion obliteration with neuroendovascular sclerotherapy as a unique treatment: case report.

Autor: Porto GBF; Departments of1Neurosurgery and., Welsh CT; 2Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston; and., Chaudry MI; 3Department of Neuroradiology and Neuroendovascular Surgery, Greenville Memorial Hospital, Greenville, South Carolina., Eskandari R; Departments of1Neurosurgery and.
Jazyk: angličtina
Zdroj: Journal of neurosurgery. Pediatrics [J Neurosurg Pediatr] 2020 May 08; Vol. 26 (2), pp. 145-149. Date of Electronic Publication: 2020 May 08 (Print Publication: 2020).
DOI: 10.3171/2020.3.PEDS2045
Abstrakt: Cystic angiomatosis is a rare bone condition with complex presentation and difficult treatment. Current management strategies have poorly tolerated side effects and a low likelihood of disease eradication. The control of calvarial lesions that are symptomatic usually involves surgical excision and subsequent cranioplasty. This paradigm can present with a risk of morbidity and mortality depending on the anatomy of the lesion. Here, the authors present a novel approach to a difficult-to-treat occipital calvarial lesion directly overlying the transverse sinus, performing a small, partial-thickness craniectomy and alcohol sclerotherapy in a combined neurosurgery-neuroendovascular approach. At 3 years after treatment, the authors noted a complete, encouraging radiographic and clinical outcome.
Databáze: MEDLINE