Embolisasi Partikel Pre-operasi Carotid Body Tumour
https://doi.org/10.22146/bns.v19i1.61897 Tommy Rachmat Setyawan(1*), Shakir Husain(2)
(1) Departemen Neurologi, Fakultas Kedokteran-Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada, Yogyakarta
(2) Departemen Neuroradiologi, University of Zurich, Swiss
(*) Corresponding Author
Abstract
A 35-year-old female patient presented with tingling sensation on the both sides of neck and head from last 6 months. MRA neck showed bilateral carotid body tumour extending to base of skull on left side causing attenuation of bilateral external carotid artery (ECA) and internal carotid artery (ICA) within the mass. Patient underwent excision of right carotid body tumour and is now admitted for excision of the tumour on the left side. The tumour was embolized without further complications. The present case indicates that embolization is effective technique for presurgical procedure.
ABSTRAK
Seorang wanita 35 tahun datang dengan paresthesia pada kedua sisi leher dan kepala sejak 6 bulan yang lalu. Pemeriksaan MRA leher menunjukkan tumor carotid body bilateral yang menjalar hingga basis cranii sisi kiri dan menyebabkan atenuasi dari external carotid artery (ECA) dan internal carotid artery (ICA) bilateral di dalam massa. Pasien telah dilakukan eksisi tumor carotid body kanan dan sekarang direncanakan untuk eksisi tumor sisi kiri. Tumor diembolisasi tanpa komplikasi lebih lanjut. Kasus ini mengindikasikan bahwa embolisasi merupakan teknik efektif untuk prosedur pre-operasi.
Keywords
Full Text:
PDFReferences
Albsoul NM, Alsmady MM, Al-Aardah MI, Altaher RN. Carotid body paraganglioma management and outcome. European Journal of Scientific Research. 2009;37(4):567–574.
Valavanis A. Preoperative embolization of the head and neck: indications, patient selection, goals, and precautions. American Journal of Neuroradiology. 1986 Oct;7(5):943–952.
Pauw BKH, Makek MS, Fisch U, Valavanis A. Preoperative embolization of paragangliomas (glomus tumors) of the head and neck: histopathologic and clinical features. Skull Base. 1993;3(01):37–44.
Robertson V, Poli F, Hobson B, Saratzis A, Ross Naylor A. A systematic review and Meta-analysis of the presentation and surgical management of patients with carotid body tumours. European Journal of Vascular and Endovascular Surgery. 2019;57(4):477–486.
Schick PM, Hieshima GB, White RA, Fiaschetti FL, Mehringer CM, Grinnell VS, et al. Arterial catheter embolization followed by surgery for large chemodectoma. Surgery. 1980;87(4):459–64.
Jackson RS, Myhill JA, Padhya TA, McCaffrey JC, McCaffrey TV, Mhaskar RS. The effects of preoperative embolization on carotid body paraganglioma surgery: a systematic review and meta-analysis. Otolaryngology–Head and Neck Surgery. 2015;153(6):943–950.
Texakalidis P, Charisis N, Giannopoulos S, Xenos D, Rangel-Castilla L, Tassiopoulos AK, et al. Role of Preoperative Embolization in Carotid Body Tumor Surgery: A Systematic Review and Meta-Analysis. World Neurosurgery. 2019;129:503–513.e2.
Britt CJ, Mydlarz WK. Should Pre-operative Embolization Be Utilized Routinely for Carotid Body Tumors Prior to Surgical Excision? In: Gooi Z, Agrawal N, editors. Difficult Decisions in Head and Neck Oncologic Surgery. Cham: Springer International Publishing; 2019.
Quadros RS, Gallas S, Delcourt C, Dehoux E, Scherperel B, Pierot L. Preoperative embolization of a cervicodorsal paraganglioma by direct percutaneous injection of onyx and endovascular delivery of particles. American Journal of Neuroradiology. 2006;27(9):1907.
Muthukumar N, Maran M. Vagal paraganglioma presenting as jugular foramen syndrome. University Journal of Surgery and Surgical Specialities. 2015;1(1).
DOI: https://doi.org/10.22146/bns.v19i1.61897
Article Metrics
Abstract views : 626
| 
views : 421
Refbacks
- There are currently no refbacks.
Copyright (c) 2020 Berkala NeuroSains
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.