Preoperative assessment of perforating arteries around amygdala glioblastoma using intra-arterial CT angiography with ultra-high-resolution CT and MR tractography: a case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 41381890.
- Also identified by DOI 10.1007/s00701-025-06741-y and PMC identifier 12700964.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Preservation of the perforating arteries (PAs) supplying the pyramidal tract (PT-PAs) is essential during glioblastoma resection. A 60-year-old man presented with sensory aphasia caused by a left medial temporal glioblastoma. To determine the surgical indication and strategy, we assessed the tumor's location and its relationship with the PT-PAs using intra-arterial computed tomography (CT) angiography combined with ultra-high-resolution CT (UHR-IA-CTA), gadolinium-enhanced T1-weighted magnetic resonance imaging, and tractography. Imaging revealed an amygdala glioblastoma without the involvement of PT-PAs. Total tumor resection was achieved without neurological deficits. This case highlights how integrating UHR-IA-CTA can guide surgical planning and enable safe, complete glioblastoma resection.
Medical subject headings
- Glioblastoma
- Brain Neoplasms
- Computed Tomography Angiography
- Amygdala