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Fig. 2 | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Fig. 2

From: Multidisciplinary management of juvenile nasopharyngeal angiofibroma

Fig. 2

A Male child, 13 years, presented with epistaxis and nasal obstruction. CT and MRI showed the presence of nasopharyngeal angiofibroma. Endovascular embolization was done with successful obliteration of tumor blush followed by successful surgical excision. AC Enhanced MRI PNS (axial, coronal and sagittal) shows tumor extensions D, E CCA angiogram lateral view (arterial, and capillary) shows tumor feeders and blush. F, G Selective and super-selective catheterization of ECA artery (main feeder) H Control ECA angiogram lateral view shows obliteration of tumor blush in different tumor compartments. IK Control CCA angiogram lateral view (arterial, capillary, and venous phases) shows obliteration of tumor blush in different tumor compartments, L Different parts of totally endoscopic removed tumor

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