Renal cell carcinoma metastasis to the cerebellopontine cistern: Intraoperative Onyx embolization via direct needle puncture

Jeremiah Johnson, Jacques Morcos, Mohamed Elhammady, Christine L. Pao, Mohammad Ali Aziz-Sultan

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

We report a rare case of a renal cell carcinoma (RCC) metastasis occupying the cerebellopontine and cerebellomedullary cisterns, and describe an alternative strategy for embolizing hypervascular intracranial tumors. A middle aged patient with a distant history of RCC presented with headaches, nausea, and vomiting, and was found to have an enhancing mass in the left cerebellopontine and cerebellopontine cisterns. The initial surgical resection was aborted due to excessive bleeding. After an unsuccessful attempt at intra-arterial embolization, the patient returned to the operating room and the tumor was devascularized by direct needle puncture Onyx embolization under biplane fluoroscopy. The devascularized tumor was then successfully dissected from the brainstem and adherent lower cranial nerves. In properly selected cases, open surgical direct needle puncture embolization of intracranial vascular tumors under biplane fluoroscopy is a viable alternative devascularization method.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - Dec 17 2013

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Renal cell carcinoma metastasis to the cerebellopontine cistern: Intraoperative Onyx embolization via direct needle puncture'. Together they form a unique fingerprint.

  • Cite this