Neurointervention.  2014 Feb;9(1):45-49. 10.5469/neuroint.2014.9.1.45.

Preoperative Embolization of Cerebellar Hemangioblastoma with Onyx: Report of Three Cases

• Shin GW
• Jeong HW
• Seo JH
• Kim ST
• Choo HJ
• Lee SJ

• KMID: 1910774
• DOI: http://doi.org/10.5469/neuroint.2014.9.1.45

Abstract

Hemangioblastoma is a benign and highly vascular tumor. Complete surgical resection of highly vascular tumor such as hemangioblastoma may be challenging due to excessive bleeding. Preoperative embolization of these lesions may decrease the intraoperative blood loss and facilitate excision. We report three cases of cerebellar hemangioblastomas that were embolized using Onyx.

Keyword

Hemangioblastoma; Endovascular procedure; Embolization/therapy; Onyx

MeSH Terms

Endovascular Procedures
Hemangioblastoma*
Hemorrhage

Reference

1. Horvathy DB, Hauch EF, Ogilvy CS, Hopkins LN, Levy EI, Siddiqui AH. Complete preoperative embolization of hemangioblastoma vessels with Onyx 18. J Clin Neurosci. 2011; 18:401–403. PMID: 21237650.

2. Dabus G, Pryor J, Spilberg G, Samaniego EA, Nogueira RG. Embolization of intra-axial hypervascular tumors with Onyx: report of three cases. J Neurointerv Surg. 2013; 5:177–180. PMID: 22266792.

3. Gore P, Theodore N, Brasiliense L, Kim LJ, Garrett M, Nakaji P, et al. The utility of Onyx for preoperative embolization of cranial and spinal tumor. Neurosurgery. 2008; 62:1204–1212. PMID: 18824987.

4. Takeuchi S, Tanaka R, Fujii Y, Abe H, Ito Y. Surgical treatment of hemangioblastomas with presurgical endovascular embolization. Neurol Med Chir (Tokyo). 2001; 41:246–251. PMID: 11396304.

5. Eskridge JM, McAuliffe W, Harris B, Kim DK, Scott J, Winn HR. Preoperative endovascular embolization of craniospinal hemanigoblastoma. AJNR Am J Neuroradiol. 1996; 17:525–531. PMID: 8881249.

6. Cornelius JF, Saint-Maurice JP, Bresson D, George B, Houdart E. Hemorrhage after particle embolization of hemangioblastomas: comparison of outcomes in spinal and cerebellar lesions. J Neurosurg. 2007; 106:994–998. PMID: 17564170.

7. Seong Eom K, Won Kim D, Sung Choi S, Ha Choi K, Young Kim T. Preoperative embolization of a cerebellar hemangioblastoma using Onyx. Neurol Neurochir Pol. 2011; 45(3):292–296. PMID: 21866486.

8. Gobin YP, Murayama Y, Milanese K, Chow K, Gonzalez NR, Duckwiler GR, et al. Head and neck hypervascular lesions: embolization with ethylene vinyl alcohol copolymer. Radiology. 2001; 221:309–317. PMID: 11687669.