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Aneurysmal bone cyst in the temporal bone and complete resection with preoperative embolization. A case report
Byoung Je Kim1, Eun Ju Lee2, Hyuk Won Chang2
1Department of Radiology, Keimyung University Dongsan Medical Center; Daegu, Republic of Korea - radiol73@gmail.com.
Summary
A rare aneurysmal bone cyst (ABC) in the temporal bone was successfully treated with preoperative embolization and surgical removal. This case highlights embolization as an effective option for managing ABCs in this delicate anatomical region.
Area of Science:
- Neurosurgery
- Otolaryngology
- Skeletal Radiology
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign, expansile bone lesions, typically occurring in long bones and the spine.
- Involvement of the petrous portion of the temporal bone is exceptionally uncommon, presenting unique diagnostic and surgical challenges.
Observation:
- A case of a large aneurysmal bone cyst (ABC) is reported, originating in the petrous temporal bone.
- The lesion caused significant mass effect, necessitating intervention.
Findings:
- Preoperative embolization was performed to reduce vascularity and minimize intraoperative bleeding.
- Complete surgical excision of the aneurysmal bone cyst was achieved, preserving adjacent vital structures.
Implications:
- This case demonstrates the feasibility and effectiveness of preoperative embolization as an adjunct in the surgical management of petrous temporal bone ABCs.
- The findings suggest that a multidisciplinary approach combining interventional radiology and neurosurgery can lead to successful outcomes for rare cranial base pathologies.
