Vertebrectomy for treatment of vertebral hemangioma without preoperative embolization

1986 ◽  
Vol 65 (3) ◽  
pp. 404-406 ◽  
Author(s):  
Tony Feuerman ◽  
Paul S. Dwan ◽  
Ronald F. Young
Keyword(s):  
Arterial Embolization ◽  
Preoperative Embolization ◽  
Vertebral Hemangioma ◽  
Transthoracic Approach ◽  
Tumor Vessels ◽  
Content Type ◽  
Vertebral Hemangiomas ◽  
Postoperative Improvement ◽  
Fine Print

✓ Vertebral hemangiomas have usually been treated by resection following preoperative arterial embolization. A case is presented in which no feeding tumor vessels were demonstrable angiographically. The tumor was resected by an arterolateral transthoracic approach without preoperative embolization. There was progressive postoperative improvement of the myelopathy.

Resection of a vertebral hemangioma after preoperative embolization

1977 ◽  
Vol 47 (2) ◽  
pp. 282-285 ◽  
Author(s):  
David C. Hemmy ◽  
David M. McGee ◽  
Frederick H. Armbrust ◽  
Sanford J. Larson
Keyword(s):  
Vertebral Body ◽  
Spinal Canal ◽  
Arterial Embolization ◽  
Surgical Excision ◽  
Preoperative Embolization ◽  
Vertebral Hemangioma ◽  
Content Type ◽  
Fine Print

✓ Preoperative arterial embolization of a vertebral hemangioma allowed surgical excision of the vertebral body, restoration of normal anatomic continuity of the spinal canal, and improvement in myelopathy.

Benign osteoblastoma of a thoracic vertebra

1980 ◽  
Vol 53 (5) ◽  
pp. 710-713 ◽  
Author(s):  
Nancy Epstein ◽  
Vallo Benjamin ◽  
Richard Pinto ◽  
Gleb Budzilovich
Keyword(s):  
Spinal Cord ◽  
Computerized Tomography ◽  
Residual Tumor ◽  
Cord Compression ◽  
Transthoracic Approach ◽  
Content Type ◽  
Benign Osteoblastoma ◽  
Posterior Laminectomy ◽  
Subtotal Removal ◽  
Fine Print

✓ A patient with osteoblastoma of the T-11 vertebral body presented with symptoms of spinal cord compression. Six weeks after an emergency laminectomy and subtotal removal, spinal computerized tomography disclosed residual tumor, which was totally removed via a combined anterior transthoracic approach and posterior laminectomy.

External carotid-cavernous fistula treated by arterial embolization

1974 ◽  
Vol 40 (1) ◽  
pp. 110-114 ◽  
Author(s):  
M. Stephen Mahalley ◽  
Stephan C. Boone
Keyword(s):  
Carotid Artery ◽  
Successful Treatment ◽  
Arterial Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Unusual Occurrence ◽  
Fine Print

✓ The unusual occurrence of a carotid-cavernous fistula supplied entirely by branches of the external carotid artery is presented, and its successful treatment by arterial embolization described.

Papillomas and carcinomas of the choroid plexus in children

1998 ◽  
Vol 88 (3) ◽  
pp. 521-528 ◽  
Author(s):  
Philippe Pencalet ◽  
Christian Sainte-Rose ◽  
Arielle Lellouch-Tubiana ◽  
Chantal Kalifa ◽  
Francis Brunelle ◽  
...  
Keyword(s):  
Choroid Plexus ◽  
Surgical Excision ◽  
Preoperative Embolization ◽  
Older Children ◽  
Complete Excision ◽  
Choroid Plexus Tumors ◽  
Content Type ◽  
Intraventricular Tumors ◽  
Fluid Collections ◽  
Fine Print

Object. Choroid plexus tumors are rare intraventricular tumors (1% of all intracranial tumors) that occur mainly in children. The pathophysiological characteristics of associated hydrocephalus, surgical management, and oncological issues related to these tumors remain a matter of debate. To understand more about these tumors, the authors have reviewed their experience with the management of 38 children with choroid plexus tumors. Methods. There were 25 cases of papilloma and 13 of carcinoma. The mean age of the patients at presentation was 22.5 months, and one-half of the patients were younger than 2 years of age. Hydrocephalus was present in 33 patients and poorly correlated with the size, site, and pathological characteristics of the tumor. In nine children, a ventriculoperitoneal shunt was required after tumor excision, calling into question the notion that cerebrospinal fluid oversecretion is the only cause of hydrocephalus. Complete excision was achieved in 96% of the cases of papilloma and 61.5% of the cases of carcinoma. These surgical procedures were complicated by the risks of intraoperative hemorrhage, which proved to be fatal in two cases, and postoperative brain collapse, which led to subdural fluid collections requiring subdural shunt placement in six patients. Preoperative embolization was partially successful in four cases and significantly assisted surgery. Preoperative controlled drainage of excessively dilated ventricles and intraoperative gluing of the cortical incision have been used to address the problem of postoperative brain collapse. Patients with carcinomas were treated postoperatively by chemotherapy alone (seven cases), radiotherapy (one case), or chemotherapy plus radiotherapy (one case). The overall 5-year survival rate was 100% for patients with papillomas and 40% for those with carcinomas. Conclusions. Total surgical excision is curative in cases of papillomas. For carcinomas, the most effective treatment remains total surgical excision; however, adjuvant treatment in the form of chemotherapy in patients younger than age 3 years, supplemented by radiation therapy in older children, can moderately reduce the risk of recurrence.

Transfemoral embolization of an external carotid-cavernous fistula

1975 ◽  
Vol 42 (1) ◽  
pp. 94-97 ◽  
Author(s):  
Robert D. Pugatch ◽  
Samuel M. Wolpert
Keyword(s):  
Arterial Embolization ◽  
Signs And Symptoms ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Fluoroscopic Control ◽  
Fine Print

✓ The authors report a case of spontaneous carotid-cavernous fistula in which transfemoral arterial embolization under fluoroscopic control resulted in immediate occlusion of the fistula and dramatic resolution of the patient's signs and symptoms.

Relief of spinal block during embolization of a vertebral body hemangioma

1976 ◽  
Vol 45 (3) ◽  
pp. 327-330 ◽  
Author(s):  
Cordell E. Gross ◽  
Charles J. Hodge ◽  
Eugene F. Binet ◽  
Irvin I. Kricheff
Keyword(s):  
Vertebral Body ◽  
Spinal Block ◽  
Vertebral Hemangioma ◽  
Percutaneous Embolization ◽  
Content Type ◽  
Subarachnoid Block ◽  
Fine Print

✓ The authors describe a case in which a subarachnoid block caused by a thoracic vertebral hemangioma was relieved during percutaneous embolization of the tumor.

Sacral neurofibrosarcoma: an angiographic evaluation

1974 ◽  
Vol 40 (6) ◽  
pp. 767-771 ◽  
Author(s):  
Vladimir Grnja ◽  
William E. Allen ◽  
Dana J. Osborn ◽  
E. Leon Kier
Keyword(s):  
Tumor Vessels ◽  
Content Type ◽  
Multiple Tumor ◽  
Feeding Vessels ◽  
Fine Print

✓ A case of an intrasacral neurofibrosarcoma with presacral extension is presented and its angiographic features described. Arteriography demonstrated a large vascular pre-sacral mass with multiple tumor vessels. Identification of the feeding vessels and the pre-sacral extent of the tumor as outlined by angiography played an important part in the management of this tumor.

Carotid body tumors managed with preoperative embolization

1983 ◽  
Vol 59 (5) ◽  
pp. 867-870 ◽  
Author(s):  
Lawrence F. Borges ◽  
Roberto C. Heros ◽  
Gerard DeBrun
Keyword(s):  
Carotid Body ◽  
Preoperative Embolization ◽  
Tumor Vascularity ◽  
Content Type ◽  
Carotid Body Tumors ◽  
Surgical Extirpation ◽  
Fine Print

✓ Two patients with large vascular carotid body tumors underwent preoperative intravascular embolization of the major arterial feeders. The tumor vascularity was reduced markedly, and complete surgical extirpation was accomplished without difficulty. The literature on carotid body tumors is briefly reviewed. The role of preoperative embolization in the treatment of these difficult tumors is emphasized.

Transsphenoidal chiasmapexy for correction of posthypophysectomy traction syndrome of optic chiasm

1977 ◽  
Vol 46 (4) ◽  
pp. 527-529 ◽  
Author(s):  
Robert E. Decker ◽  
Robert Carras
Keyword(s):  
Visual Loss ◽  
Optic Chiasm ◽  
Content Type ◽  
Traction Injury ◽  
Diaphragma Sellae ◽  
Postoperative Improvement ◽  
Fine Print

✓ Postoperative improvement occurred as a result of transsphenoidal chiasmapexy in a patient with posthypophysectomy visual loss. Traction injury of the optic chiasm may have been caused by a deficient diaphragma sellae and inadequate packing and repair of the sella floor. A cartilaginous seal is recommended.

Preoperative embolization and intraoperative cryocoagulation as adjuncts in resection of hypervascular lesions of the thoracolumbar spine

2002 ◽  
Vol 97 (3) ◽  
pp. 294-300 ◽  
Author(s):  
Remi Nader ◽  
Brent T. Alford ◽  
Haring J. W. Nauta ◽  
Wayne Crow ◽  
Eric Vansonnenberg ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Tumor Resection ◽  
Thoracolumbar Spine ◽  
Spinal Tumors ◽  
Preoperative Embolization ◽  
Physical Separation ◽  
Content Type ◽  
Spinal Reconstruction ◽  
Estimated Blood Loss ◽  
Fine Print

Object. The purpose of this study was twofold. First the authors evaluated preoperative embolization alone to reduce estimated blood loss (EBL) when resecting hypervascular lesions of the thoracolumbar spine. Second, they compared this experience with intraoperative cryotherapy alone or in conjunction with embolization to minimize further EBL. Methods. Twelve patients underwent 13 surgeries for hypervascular spinal tumors. In 10 cases the surgeries were augmented by preoperative embolization alone. In one patient, two different surgeries involved intraoperative cryocoagulation, and in one patient surgery involved a combination of preoperative embolization and intraoperative cryocoagulation for tumor resection. When cryocoagulation was used, its extent was controlled using intraoperative ultrasonography or by establishing physical separation of the spinal cord from the tumor. In the 10 cases in which embolization alone was conducted, intraoperative EBL in excess of 3 L occurred in five. Mean EBL was of 2.8 L per patient. In one patient, who underwent only embolization, excessive bleeding (> 8 L) required that the surgery be terminated and resulted in suboptimum tumor resection. In another three cases, intraoperative cryocoagulation was used alone (in two patients) or in combination with preoperative embolization (in one patient). In all procedures involving cryocoagulation of the lesion, adequate hemostasis was achieved with a mean EBL of only 500 ml per patient. No new neurological deficits were attributable to the use of cryocoagulation. Conclusions. Preoperative embolization alone may not always be satisfactory in reducing EBL in resection of hypervascular tumors of the thoracolumbar spine. Although experience with cryocoagulation is limited, its use, in conjunction with embolization or alone, suggests it may be helpful in limiting EBL beyond what can be achieved with embolization alone. Cryocoagulation may also assist resection by preventing spillage of tumor contents, facilitating more radical excision, and enabling spinal reconstruction. The extent of cryocoagulation could be adequately controlled using ultrasonography or by establishing physical separation between the tumor and spinal cord. Additionally, somatosensory evoked potential monitoring may provide early warning of spinal cord cooling.

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