This case report demonstrates successful surgical excision following preoperative embolization of a rare intracranial epithelioid hemangioendothelioma in an adult.
Supports preoperative embolization plus resection for rare intracranial EHE; hypothesis-generating and requires validation in larger series.
We report the case of a 27-year-old man who underwent surgical excision of an intracranial extra-axial right temporal lesion. A preoperative embolization with the use of a mixture of N-butyl-cyanoacrylate, ultrafluid-lipiodol, and micronized tungsten was necessary to devascularize the tumor. The histological diagnosis was epithelioid hemangioendothelioma. The patient was neurologically intact and tumor-free 18 months after surgery. To our knowledge, this is the fifth patient reported with intracranial epithelioid hemangioendothelioma and the first adult patient for whom complete data are available.
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Puca et al. (1996) studied this question.
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