National Cheng-Kung University Hospital,
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Case Report
Emergency Extracranial- Intracranial Bypass during Surgery for Anterior Clinoid Process Hemangiopericytoma with ICA Invasion—Case Report.
Author(s): Yu-Ning Chen, Po-Hsuan Lee, Yin-Ren Chen and E-Jian LeeYu-Ning Chen, Po-Hsuan Lee, Yin-Ren Chen and E-Jian Lee
Hemangiopericytoma (HPC) is a rare tumor, accounting for less than 1% of intracranial tumors. Though it’s notoriously difficult to distinguish HPC from meningioma in pre-op images, HPC presents bone and vascular invasion, high local recurrence and distal metastasis clinically, as a surgically challenging malignancy. High-flow extracranial-intracranial (EC-IC) bypass is a skill demanding surgery and is usually performed as a wellprepared elective surgery. However, emergency EC-IC bypass is indicated for unplanned major artery loss during surgery and sometimes as the final rescue for the patient. We present a case of 46 year-old man, who was diagnosed of a left anterior clinoid process (ACP) tumor with presentation of gradually visual loss. As the dura tail sign and MRI signal, we performed left pterional approach tumor excision for the impression of ACP meningioma. However, due t.. Read More»
DOI:
10.4172/2329-6895.1000210
Neurological Disorders received 1343 citations as per Google Scholar report