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Preoperative Embolization for Skull Base Meningiomas.

Kensuke Suzuki¹, Masaya Nagaishi¹, Yoshiyuki Matsumoto¹

¹Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital, Koshigaya City, Saitama, Japan.

Journal of Neurological Surgery. Part B, Skull Base

|July 21, 2017

Summary

This summary is machine-generated.

Preoperative embolization for skull base meningiomas is effective, with a 90% excision rate and no permanent complications. This procedure should be considered for treating these benign tumors.

Keywords:

endovascular surgery meningioma n -butyl cyanoacrylate preoperative embolization skull base

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Area of Science:

Neurosurgery
Interventional Radiology

Background:

Skull base meningiomas are tumors requiring effective treatment strategies.
Preoperative embolization is a technique used to reduce blood supply to tumors before surgical removal.

Purpose of the Study:

To evaluate the efficacy and safety of preoperative embolization for skull base meningiomas.
To analyze outcomes including excision rates, blood loss, and complications.

Main Methods:

Retrospective analysis of 20 patients with skull base meningiomas treated with preoperative embolization.
Evaluation of occluded arteries, embolic materials, treatment time, excision rates, and complications.

Main Results:

Mean excision rate of 90% (Simpson grade III), with 10% grade IV.
Average blood loss of 250 mL, with exceptions for complex cases.
No permanent complications or new neurologic symptoms post-embolization and surgery.

Conclusions:

Preoperative embolization is a safe and effective adjunct for skull base meningiomas.
The procedure facilitates tumor removal with reduced blood loss and minimal complications.
Continued use of embolization is recommended with a thorough understanding of vascular anatomy.