脊髄外科
Online ISSN : 1880-9359
Print ISSN : 0914-6024
ISSN-L : 0914-6024
症例報告
摘出術前の腫瘍栄養血管塞栓術が有用であった馬尾血管芽腫の1例
馬越 通有安原 隆雄三好 康之平松 匡文豊島 敦彦佐々田 晋守本 純菱川 朋人眞鍋 博明徳永 浩司杉生 憲志伊達 勲
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2015 年 29 巻 1 号 p. 53-58

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  Spinal hemangioblastomas are benign, and total surgical resection is the standard treatment method used. However, hypervascular tumors may have excessive operative blood loss if the tumors are divided. We encountered a case of cauda equina hemangioblastoma with extraordinary blood supply, which was treated with preoperative embolization. A 49-year-old woman with von Hippel-Lindau disease who had undergone multiple surgeries for intracranial/extracranial hemangioblastomas had lumbago and leg pain. Magnetic resonance images revealed intradural spinal tumors at the L4-S1 vertebral level, with remarkable gadolinium enhancement. The patient was referred to our hospital, after a plan of total resection had been abandoned elsewhere because of the high flow feeders and high pressure of the tumors. Preoperative embolization was performed with consequent disappearance of the arterial blood supply to the tumor. Two days later, the tumor was resected subtotally with reduced tension and a little blood loss. The patient’s symptoms resolved soon after surgery. Selective preoperative embolization for a spinal hemangioblastoma with a rich blood supply is a valid option as an adjuvant to the complete surgical resection of a tumor.

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© 2015 日本脊髄外科学会
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