Preoperative Embolization of Skull Base Meningiomas: Impact on surgical results | ||||
| Pan Arab Journal of Neurosurgery | ||||
| Article 2, Volume 16, Issue 2, December 2021, Page 42-47 PDF (672.67 K) | ||||
| Document Type: Original Articles | ||||
| DOI: 10.21608/pajn.2021.81297.1025 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Mohammed Balaha  ; Ahmed Atef Ganna; Mohamed Nasr Shaddad
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| Neurosurgery department, Faculty of Medicine, Tanta University, Egypt | ||||
| Abstract | ||||
| Background: Skull base Meningiomas are considered of the most common occurring Meningiomas. Because of their rich blood supply, safe and total excision represents a challenge for neurosurgeons. Preoperative embolization is one of the lines that used to control the tumor bleeding during resection. Aim: this study aims to study the effect of preoperative embolization on the skull base meningioma surgeries Patients and method: 20 patients diagnosed with various types of skull base Meningiomas had underwent preoperative embolization of the feeding arteries to achieve the angiographic absence of tumor blush. 2 days later after embolization, each patient underwent surgical resection of the tumor. Intraoperative findings, operative time, operative blood loss, extent of resection, and postoperative events were documented and analyzed. Results: Average blood loss was 262±62.79 ml, the mean operative time was 254.5±32.03 minutes. Simpson grade 1 was achieved in 5 cases (25%), grade 2 in 9 cases (45%), and grade 3 in 6 cases (30%). Neither embolization nor surgery related morbidities or mortalities were reported. Conclusions: preoperative embolization is a safe option for selected Meningiomas to minimize the operative blood loss and facilitate the tumor resection. | ||||
| Keywords | ||||
| Meningioma; Skull base; Embolization; Endovascular | ||||
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