Live Video Consultation
19 Harley St, London, W1G 9QJ, UK

Spinal metastasis from malignant meningeal intracranial hemangiopericytoma: one-staged percutaneous OnyxTM embolization and resection – a technical innovation.

Spinal metastasis from malignant meningeal intracranial hemangiopericytoma: one-staged percutaneous OnyxTM embolization and resection – a technical innovation.

World J Surg Oncol. 2013 Jul 11;11(1):152

Authors: El Hindy N, Ringelstein A, Forsting M, Sure U, Mueller O

Abstract
BACKGROUND: We are the first to report one-staged resection of a spinal metastasis from malignant cranial hemangiopericytoma after preoperative OnyxTM-20 embolization by direct percutaneous puncture.Spinal metastases from cranial hemangiopericytoma are extremely rare. Surgical morbidity of these highly vascularized tumours results mainly from excessive blood loss. Preoperative embolization of hyper vascular tumours has been used to reduce intraoperative blood loss for a long time. To avoid complications from arterial catheter intervention, direct percutaneous puncture has been advocated as a safe and effective alternative.
METHODS: A 46-year-old man with a history of malignant cranial hemangiopericytoma deriving from the left frontal skull base presented with a short history of lower back pain. A magnetic resonance imaging scan revealed an intra- and extra spinal mass lesion of the thoracic spine at Th 12. Indication for tumour resection was made and the patient’s written consent was obtained. Preoperatively, arterial catheter angiography was performed to reveal the tumour’s angioarchitecture, revealing high-flow arteriovenous shunts. In order to impede the expected perioperative blood loss, tumour embolization by direct percutaneous puncture and application of OnyxTM-20 was performed prior to surgery.
RESULTS: After percutaneous OnyxTM-20 embolization, complete and safe resection of the lesion could be achieved. There was only minimal blood loss perioperatively. A pathohistological report confirmed malignant, anaplastic hemangiopericytoma.
CONCLUSIONS: In our case OnyxTM-20 embolization via direct percutaneous puncture of a highly vascularized tumour was shown to be a safe and efficient tool prior to surgery. Despite high-flow arteriovenous shunts, direct percutaneous administration of non-adhesive ethanol liquid was an efficient alternative to transarterial catheter embolization. The perioperative blood loss could be substantially diminished.

PMID: 23845137 [PubMed – as supplied by publisher]

Spinal metastasis from malignant meningeal intracranial hemangiopericytoma one-staged percutaneous OnyxTM embolization and resection - a technical innovation | Pain experts

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810