Glioblastoma Presenting as Spontaneous Subarachnoid Hemorrhage: Technical Case Note of Combined Endovascular and Microsurgical Vision-Sparing Treatment

Autor: Darius Tan, Chris D. Daly, Chris Xenos, Leon T. Lai, Ronil V. Chandra
Rok vydání: 2019
Předmět:
Male
Microsurgery
medicine.medical_specialty
Subarachnoid hemorrhage
Computed Tomography Angiography
medicine.medical_treatment
Calcarine Artery
Posterior cerebral artery
Neurosurgical Procedures
03 medical and health sciences
Pseudoaneurysm
0302 clinical medicine
medicine.artery
medicine
Humans
Visual Pathways
cardiovascular diseases
Embolization
Posterior Cerebral Artery
Brain Neoplasms
business.industry
Endovascular Procedures
Middle Aged
Subarachnoid Hemorrhage
medicine.disease
Magnetic Resonance Imaging
Cerebral Angiography
medicine.anatomical_structure
030220 oncology & carcinogenesis
cardiovascular system
Surgery
Case note
Neurology (clinical)
Radiology
Glioblastoma
business
Organ Sparing Treatments
Aneurysm
False

Magnetic Resonance Angiography
030217 neurology & neurosurgery
Optic radiation
Zdroj: World Neurosurgery. 128:426-430
ISSN: 1878-8750
Popis: Background Clinical utility of endovascular adjunct for tumor resection is well established, but its role in acute subarachnoid hemorrhage secondary to neoplastic pseudoaneurysm rupture has not been reported. Case Description We discuss a 46-year-old patient presenting with a World Federation of Neurological Surgeons grade 1 subarachnoid hemorrhage from a ruptured posterior cerebral artery pseudoaneurysm due to glioblastoma tumor invasion. Conclusions A combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway.
Databáze: OpenAIRE