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


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.

SUBMITTER: Tanaka S 

PROVIDER: S-EPMC8996603 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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

Tanaka Shingo S   Kobayashi Masaaki M   Ichinose Toshiya T   Oikawa Nozomu N   Kinoshita Masashi M   Yoshikawa Akifumi A   Uchiyama Naoyuki N   Nakada Mitsutoshi M  

BMC neurology 20220411 1


<h4>Background</h4>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.<h4>Case presentation</h4>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 ruptu  ...[more]

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