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Neurology
Scalp necrosis following preoperative endovascular embolisation of the superficial temporal artery for meningioma
  1. Harsimran Panesar1,2,
  2. Mai Hatazaki1 and
  3. Yevgenia Shekhtman3
  1. 1Hackensack Meridian School of Medicine, Nutley, New Jersey, USA
  2. 2Surgery, Morristown Medical Center, Morristown, New Jersey, USA
  3. 3Neurosurgery, JFK Health System, Edison, NJ, USA
  1. Correspondence to Dr Harsimran Panesar; harsimran.panesar206{at}gmail.com; Dr Yevgenia Shekhtman; yevgenia.shekhtman{at}hmhn.org

Abstract

A woman in her late 50s with a left frontal lobe convexity meningioma underwent an elective endovascular embolisation of the left middle meningeal artery and distal branches of the left superficial temporal artery prior to surgical resection of the tumour. On postoperative day 46, she developed scalp necrosis, leading to poor wound healing requiring wound debridement and a complex plastic surgery reconstruction with a rotational flap. Endovascular embolisation of vascular tumours prior to surgical resection does not come without risks. The lack of consistency in the literature regarding indication, technique and outcomes makes it difficult to define the exact role of preoperative meningioma embolisation.

  • CNS cancer
  • Neurooncology
  • Interventional radiology

https://doi.org/10.1136/bcr-2023-257848

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: HP, YS, MH. The following authors gave final approval of the manuscript: HP, YS, MH.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.