Preprint Case Report Version 1 This version is not peer-reviewed

Complete Resolution of a Meningioma and Relief of Chronic Migraine Headaches after Endovascular Embolization Alone (Case Report).

Andrey Eugenievich Petrov
* ORCID logo ,
Arkady Aleksandrovich Ivanov
* ORCID logo ,
Ekaterina Samorukova
,
Julia Suvorova
,
Anna Petrova
,
Konstantin Samochernykh
,
Larisa Rozhchenko
ORCID logo
Version 1 : Received: 22 October 2024 / Approved: 24 October 2024 / Online: 25 October 2024 (10:00:08 CEST)

How to cite: Petrov, A. E.; Ivanov, A. A.; Samorukova, E.; Suvorova, J.; Petrova, A.; Samochernykh, K.; Rozhchenko, L. Complete Resolution of a Meningioma and Relief of Chronic Migraine Headaches after Endovascular Embolization Alone (Case Report).. Preprints 2024, 2024101956. https://doi.org/10.20944/preprints202410.1956.v1 Petrov, A. E.; Ivanov, A. A.; Samorukova, E.; Suvorova, J.; Petrova, A.; Samochernykh, K.; Rozhchenko, L. Complete Resolution of a Meningioma and Relief of Chronic Migraine Headaches after Endovascular Embolization Alone (Case Report).. Preprints 2024, 2024101956. https://doi.org/10.20944/preprints202410.1956.v1

Abstract

We present a case of successful treatment of a mall-sized parasagittal meningioma (14x11x12mm), combined with chronic migraines, which significantly improved the patient's quality of life. After endovascular surgery -embolization of the middle meningeal artery (MMA) branches using non-adhesive embolic agents of various viscosities (Squid 12/Squid 18), we observed not only complete resolution of the meningioma, but also almost complete elimination of headache attacks. On the third day after the procedure, the patient reported that headaches, which previously occurred almost every day, changed to short episodes about once in 4 months. This clinical observation and the literature data suggest that embolization of the distal branches of the MMA could be an effective treatment for small-sized parasagittal and convexital meningiomas as well as chronic subdural hematomas (ChSDH). Additionally, it can lead to a reduction in the intensity of migraine headaches. Embolization of the MMA distal branches could provide relief from migraines and improve the quality of life for patients. However, there is a lack of sufficient data on this topic in the current literature. Therefore, it may be worthwhile to investigate this side effect further and conduct a study on the efficacy of MMA embolization for chronic migraines.

Keywords

endovascular embolization; meningioma; Squid; middle meningeal artery; chronic migraine; headache.

Subject

Medicine and Pharmacology, Neuroscience and Neurology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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