PDF(Pubmed)
Abstract：
A woman in her late 50s with a left frontal lobe convexity meningioma underwent an elective endovascular embolisation of the left middle meningeal artery and distal branches of the left superficial temporal artery prior to surgical resection of the tumour. On postoperative day 46, she developed scalp necrosis, leading to poor wound healing requiring wound debridement and a complex plastic surgery reconstruction with a rotational flap. Endovascular embolisation of vascular tumours prior to surgical resection does not come without risks. The lack of consistency in the literature regarding indication, technique and outcomes makes it difficult to define the exact role of preoperative meningioma embolisation.
摘要：
在手术切除肿瘤之前，一名50多岁的妇女患有左额叶凸面脑膜瘤，对左脑膜中动脉和左颞浅动脉的远端分支进行了选择性血管内栓塞。术后第46天，她出现头皮坏死，导致伤口愈合不良，需要伤口清创术和使用旋转皮瓣进行复杂的整形手术重建。手术切除前血管肿瘤的血管内栓塞并非没有风险。关于适应症的文献缺乏一致性，技术和结果使得很难确定术前脑膜瘤栓塞的确切作用。
