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Fig. 1 | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Fig. 1

From: Multidisciplinary management of juvenile nasopharyngeal angiofibroma

Fig. 1

A Male child, 14 years, presented with epistaxis and nasal obstruction. Nasal biobsy was tried with horrible bleeding CT and MRI showed the presence of nasopharyngeal angiofibroma. Endovascular embolization was done with successful obliteration of tumor blush followed by successful surgical excision. A, B CT PNS (axial and Coronal) shows tumor, C MRI PNS (sagittal T2) shows tumor extensions D, E Distal ECA angiogram lateral view (arterial, and capillary, phases) shows tumor feeders and blush. F Super-selective catheterization of different feeders in different tumor compartments (mainly sphenopalatine artery branches) IH Control ECA angiogram lateral view (arterial, capillary, and venous phases) shows obliteration of tumor blush in different tumor compartments

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