Preoperative devascularization of a circumferential osteogenic metastasis to the upper cervical spine by direct percutaneous needle puncture : a technical note

Direct percutaneous needle puncture (DPNP) for presurgical devascularization of head and neck as well as skull base tumours is an established, yet not widespread method. We present a case of a large and highly vascularized metastasis with partial destruction of the first two cervical vertebrae and e...

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Bibliographic Details
Published in:Neuroradiology 2005-09, Vol.47 (9), p.674-679
Main Authors: LIEBIG, T, HENKES, H, KIRSCH, M, PIOTIN, M, JANS, P, KIIHNE, D
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Blood vessels
Cancer
Carcinoma - blood supply
Carcinoma - therapy
Case studies
Cervical Vertebrae
Embolization, Therapeutic - methods
Enbucrilate - administration & dosage
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Nervous system
Neurology
Punctures
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Spinal Neoplasms - blood supply
Spinal Neoplasms - therapy
Surgery
Tumors
Citations: Items that this one cites
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Description
Summary:Direct percutaneous needle puncture (DPNP) for presurgical devascularization of head and neck as well as skull base tumours is an established, yet not widespread method. We present a case of a large and highly vascularized metastasis with partial destruction of the first two cervical vertebrae and encasement of the spinal cord that was successfully treated by DPNP for preoperative devascularization after an attempted endovascular embolization had failed. The lesion was safely and effectively devascularized, which facilitated the surgical removal. The case presented illustrates the technique and furthermore demonstrates its value.
ISSN:0028-3940
1432-1920
DOI:10.1007/s00234-005-1396-2