Pre-operative Embolization of a Cerebellar Hemangioblastoma Using Polyvinyl Alcohol (PVA) and Target Tetra 360 Detachable Coil.

Autor: Wang AS; Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA., Murnin JC; Medicine, Burrell College of Osteopathic Medicine, Las Cruces, USA., Wiginton Iv J; Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA., Tchalukov K; Radiology, Riverside University Health System Medical Center, Moreno Valley, USA., Stout CE; Neurointerventional Radiology, Riverside University Health System Medical Center, Moreno Valley, USA., Duong J; Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.; Neurosurgery, Arrowhead Regional Medical Center, Colton, USA., Sweiss R; Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Mar 25; Vol. 16 (3), pp. e56891. Date of Electronic Publication: 2024 Mar 25 (Print Publication: 2024).
DOI: 10.7759/cureus.56891
Abstrakt: Due to its hypervascularity, hemangioblastoma, a rare primary central nervous system intracranial tumor, has been treated with pre-operative embolization prior to surgical resection. Here, we describe a case treated as such. A 37-year-old male presented with worsening chronic headache and right ear tinnitus was found to have a hypervascular, heterogeneous right cerebellar lesion suspicious for arteriovenous malformation or hemangioblastoma. He underwent polyvinyl alcohol (PVA) and Target Tetra 360 (Fremont, CA: Stryker Neurovascular) detachable coil embolization followed by complete tumor resection. Pathology was consistent with hemangioblastoma. He presented with complete resolution of his symptoms immediately post-operatively and at a two-week follow-up. Our case highlighted the importance of pre-operative embolization to help achieve complete tumor resection which is considered curative in the treatment of hypervascular hemangioblastoma. The Target Tetra 360 detachable coil embolization is another material that can be considered.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Wang et al.)
Databáze: MEDLINE