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Published in: BMC Neurology 1/2022

Open Access 01-12-2022 | Ruptured Aneurysm | Case report

Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report

Authors: Shingo Tanaka, Masaaki Kobayashi, Toshiya Ichinose, Nozomu Oikawa, Masashi Kinoshita, Akifumi Yoshikawa, Naoyuki Uchiyama, Mitsutoshi Nakada

Published in: BMC Neurology | Issue 1/2022

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Abstract

Background

Meningiomas and unruptured cerebral aneurysms (UCAs) rarely coexist. However, the treatment strategy remains to be fully elucidated. This report is a first report that UCA related to the tumor feeder intraoperatively ruptured when the meningioma was resected.

Case presentation

Herein, we present a case of meningioma coexisting with contralateral UCA related to a tumor feeder. Immediately after the meningioma was resected, intraoperative acute brain swelling due to rupture of the contralateral aneurysm appeared. The swollen brain protruding into the epidural space was resected, following contralateral ruptured aneurysm was performed by endovascular surgery. Intensive neurological treatment was administered and the patient gradually recovered.

Conclusion

This report highlights the possibility of intraoperative UCA rupture related to the tumor feeder when the meningioma is resected.
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Literature
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Metadata
Title
Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
Authors
Shingo Tanaka
Masaaki Kobayashi
Toshiya Ichinose
Nozomu Oikawa
Masashi Kinoshita
Akifumi Yoshikawa
Naoyuki Uchiyama
Mitsutoshi Nakada
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2022
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-022-02664-8

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