Published in:
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.