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.

中文翻译：

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脑膜瘤术前颞浅动脉血管内栓塞术后头皮坏死

一名 50 多岁的女性患有左额叶凸面脑膜瘤，在手术切除肿瘤之前，对左脑膜中动脉和左颞浅动脉远端分支进行了选择性血管内栓塞术。术后第 46 天，她出现头皮坏死，导致伤口愈合不良，需要进行伤口清创和使用旋转皮瓣进行复杂的整形手术重建。在手术切除之前对血管肿瘤进行血管内栓塞并非没有风险。文献中关于适应症、技术和结果缺乏一致性，使得很难定义术前脑膜瘤栓塞的确切作用。