Staged surgical treatment of a hypervascular cerebellar hemangioblastoma and saccular superior cerebellar artery aneurysm using preoperative embolization with a low viscosity non-adhesive liquid embolic agent

Sirko, Andrii and Halkin, Mykyta and Cherednychenko, Yuri and Perepelytsia, Vadym (2021) Staged surgical treatment of a hypervascular cerebellar hemangioblastoma and saccular superior cerebellar artery aneurysm using preoperative embolization with a low viscosity non-adhesive liquid embolic agent. Interdisciplinary Neurosurgery, 25. p. 101232. ISSN 2214-7519

Text 1-s2.0-S2214751921001444-main.pdf Download (7MB)

Abstract

This report presents a patient with a cerebellar hemangioblastoma associated with obstructive hydrocephalus and a saccular superior cerebellar artery (SCA) aneurysm who was successfully treated using a three-stage approach that included ventriculoperitoneal shunting, preoperative endovascular embolization of the tumor vasculature and aneurysm with a low viscosity non-adhesive liquid embolic agent, and total microsurgical tumor removal. Removal of these tumors is associated with a high risk of profuse intraoperative blood loss, cerebral edema, and other equally dangerous complications. Our case was complicated by a tumor feeder aneurysm, which increased the risk of spontaneous subarachnoid hemorrhage and intraoperative aneurysm rupture. A three-stage approach allowed radical and safe removal and resulted in improved neurological symptoms.

Item Type:	Article
Uncontrolled Keywords:	Brain hemangioblastoma, solitary fibrous tumor, preoperative embolization, low viscosity, feeder aneurysm
Subjects:	Neurosurgery
Divisions:	Faculty of Postgraduate Education > Department of Neurology and Neurosurgery FPE
Depositing User:	Анастасия Жигар
Date Deposited:	11 May 2022 08:18
Last Modified:	11 May 2022 08:18
URI:	http://repo.dma.dp.ua/id/eprint/7479

Actions (login required)

View Item