Jugular Foramen Tumor

Discussion
DSA + Presurgical Tumor Embolization

Irwan Baihaqi* Nur Setiawan Suroto**

Rahardian Indarto Susilo* Andre Kusuma**
Joni Wahyuhadi* Zaky Bajamal**
Asra Al Fauzi**

* Brain Tumor Center. Airlangga University-dr Sutomo Hospital, Surabaya- Indonesia

** Neurovascular & Neuroendovascular Therapy Center. Airlangga University-dr Sutomo Hospital, Surabaya- Indonesia

© 2015 Surabaya Neurosciecnce Institute

Rt ECA Angiogram Blush from STA
suggest fistula
Jugular Division
Neuromeningeal Trunk
from the previous Ascending Pharyngeal Art
surgery

© 2015 Surabaya Neurosciecnce Institute

MRI TOF Supraselective APA Angiogram

© 2015 Surabaya Neurosciecnce Institute

 Ipsilateral Transverse Sinus
Draining Vein Discussion drain to contralateral
transverse sinus

Bone Landmark Draining Vein SPS

Ipsilateral sigmoid and Jugular Vein

was not observed  occluded
ipsilateral sigmoid and jugular vein © 2015 Surabaya Neurosciecnce Institute
• Presurgical Tumor Embolization
using particle, PVA 200 (©Cook)
• Size : 180µ -300µ
• 5cc PVA contained injection

• Flow directed embolization from

the tumor main feeder (Jugular
branch of Ascending Pharyngeal
Artery)

© 2015 Surabaya Neurosciecnce Institute

Selective Angio evaluation
Pre Embo Post Embo

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Discussion
• Remaining feeder

• Smaller particle risk of edema

due to ischemic necrosis
possibility after embolization

© 2015 Surabaya Neurosciecnce Institute