PDF(Pubmed)
Abstract：
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.
摘要：
由于它的血管过多，血管母细胞瘤,一种罕见的原发性中枢神经系统颅内肿瘤,在手术切除前已接受术前栓塞治疗。这里,我们描述了一个这样处理的案例。一名37岁的男性出现慢性头痛恶化和右耳耳鸣，被发现患有血管过多，怀疑为动静脉畸形或血管母细胞瘤的异质右侧小脑病变。他接受了聚乙烯醇(PVA)和TargetTetra360(弗里蒙特，CA：Stryker神经血管）可脱性线圈栓塞，然后完全切除肿瘤。病理符合血管母细胞瘤。他在术后和两周的随访中表现出症状的完全缓解。我们的病例强调了术前栓塞的重要性，以帮助实现完全的肿瘤切除，这被认为是治疗高血管血管母细胞瘤的治愈方法。TargetTetra360可拆卸线圈栓塞是另一种可以考虑的材料。
