Endovascular Management of Paragangliomas | ||
| The Medical Journal of Cairo University | ||
| Article 87, Volume 87, September, September 2019, Pages 3443-3449 PDF (722.82 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2019.65641 | ||
| Author | ||
| MOHAMED SHADAD, M.D., Ph.D.; AHMED ELSHARKAWY, M.D., Ph.D. | ||
| The Department of Neurosurgery, Faculty of Medicine, Tanta University | ||
| Abstract | ||
| Abstract Background: Paragangliomas of head and neck are highly vascular tumors, which coupled their surgical excision with high morbidity. Pre-operative transarterial super selective embolization markedly improved safety of their surgical excision. Patients and Methods: This is a retrospective non-randomized clinical and angiographic study of all ten patients with paragangliomas who undergone pre-operative emboliza-tion in Department of Neurosurgery-Tanta University between 2010 and 2016. Results: The ten patients had 11 paragangliomas. 80% of patients were females. The average age of patients was 47 years. All patients had pain and pulsatile tinnitus at diagnosis. Paragangliomas subtypes comprised 8 temporal, 2 carotid body and one vagale tumors. The average reduction of para-ganglioma vascularity after embolization was 80%. Conclusions: Pre-operative transarterial embolization of head and neck paragangliomas is a very safe and effective adjuvant to surgical excision. | ||
| Keywords | ||
| Paraganglioma; Embolization; Polyvinyl alcohol (PVA) | ||
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