Treatment of Intracranial Meningioma in an Elderly Patient by Endovascular Embolization Without Subsequent Surgical Removal

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Objective: Intracranial meningioma surgery in the elderly sometimes causes neurological complications that significantly degrade quality of life. We report a case of intracranial meningioma that was effectively and safely treated by endovascular embolization using liquid materials without subsequent surgical removal.Case presentation: Our case of intracranial meningioma was in an 86-year-old woman treated by endovascular embolization using ethanol and n-butyl cyanoacrylate. Six days after embolization, preoperative neurological deficits were improved, no cognitive deterioration was detected, and tumor shrinkage was evident on brain magnetic resonance imaging. Tumor size remains unchanged two years after embolization.Conclusion: Endovascular embolization using liquid materials may be safe for symptomatic meningioma in elderly patients to prevent various complications associated with surgical removal.
特定非営利活動法人日本脳神経血管内治療学会の論文