Operative Technique : Angiomatoid Fibrous Histiocytoma-Unique Case and Management

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Objective  We describe the first jugular foramen angiomatoid fibrous histiocytoma (AFH) case and the first treatment with preoperative endovascular embolization. AFH is a rare intracranial neoplasm, primarily found in pediatric patient extremities. With an increase in AFH awareness and a well-described genetic profile, intracranial prevalence has also subsequently increased. Study Design  We compare this case to previously reported cases using PubMed/Medline literature search, which was performed using the algorithm ["intracranial" AND "angiomatoid fibrous histiocytoma"] through December 2020 (23 manuscripts with 46 unique cases). Patient  An 8-year-old female presented with failure to thrive and right-sided hearing loss. Work-up revealed an absence of right-sided serviceable hearing and a large jugular foramen mass. Angiogram revealed primary arterial supply from the posterior branch of the ascending pharyngeal artery, which was preoperatively embolized. Intervention  Gross total resection was performed via a translabyrinthine approach. Conclusion  The case presented is unique; the first reported AFH at the jugular foramen and the first reported case utilizing preoperative embolization. Preoperative embolization is a relatively safe technique that can improve the surgeon's ability to perform a maximally safe resection, which may decrease the need for adjuvant radiation in rare skull base tumors in young patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:83

Enthalten in:

Journal of neurological surgery reports - 83(2022), 3 vom: 01. Juli, Seite e110-e118

Sprache:

Englisch

Beteiligte Personen:

Mazur-Hart, David J [VerfasserIn]
O'Neill, Brannan E [VerfasserIn]
Pang, Brandi W [VerfasserIn]
Hakar, Melanie H [VerfasserIn]
Wood, Matthew D [VerfasserIn]
Gupta, Sachin [VerfasserIn]
Sayama, Christina M [VerfasserIn]
Liu, Jesse J [VerfasserIn]
Dogan, Aclan [VerfasserIn]

Links:

Volltext

Themen:

Angiomatoid fibrous histiocytoma
Case Reports
Jugular foramen
Preoperative embolization
Translabyrinthine approach

Anmerkungen:

Date Revised 24.09.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1055/s-0042-1754320

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346644607