Glioblastoma Presenting as Spontaneous Subarachnoid Hemorrhage: Technical Case Note of Combined Endovascular and Microsurgical Vision-Sparing Treatment
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. We discuss a 46-year-old patient presenting with a World Federation of Neurological Surgeons grade 1 s...
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| Published in | World neurosurgery Vol. 128; pp. 426 - 430 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.08.2019
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| Abstract | 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.
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.
A combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway. |
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| AbstractList | BACKGROUNDClinical 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 DESCRIPTIONWe 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. CONCLUSIONSA combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway. 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. 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. A combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway. |
| Author | Tan, Darius Chandra, Ronil V. Lai, Leon T. Xenos, Chris Daly, Christopher |
| Author_xml | – sequence: 1 givenname: Darius orcidid: 0000-0002-4740-1130 surname: Tan fullname: Tan, Darius email: Darius.Tan@monashhealth.org organization: Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia – sequence: 2 givenname: Christopher surname: Daly fullname: Daly, Christopher organization: Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia – sequence: 3 givenname: Chris surname: Xenos fullname: Xenos, Chris organization: Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia – sequence: 4 givenname: Leon T. surname: Lai fullname: Lai, Leon T. organization: Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia – sequence: 5 givenname: Ronil V. surname: Chandra fullname: Chandra, Ronil V. organization: Department of Surgery, Monash University, Melbourne, Australia |
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| SubjectTerms | Aneurysm, False - etiology Brain Neoplasms - complications Brain Neoplasms - diagnostic imaging Brain Neoplasms - surgery Cerebral Angiography Computed Tomography Angiography Endovascular Endovascular Procedures - methods Glioblastoma Glioblastoma - complications Glioblastoma - diagnostic imaging Glioblastoma - surgery Humans Magnetic Resonance Angiography Magnetic Resonance Imaging Male Microsurgery - methods Microsurgical Middle Aged Neurosurgical Procedures - methods Organ Sparing Treatments Posterior Cerebral Artery Subarachnoid hemorrhage Subarachnoid Hemorrhage - diagnostic imaging Subarachnoid Hemorrhage - etiology Subarachnoid Hemorrhage - surgery Visual Pathways |
| Title | Glioblastoma Presenting as Spontaneous Subarachnoid Hemorrhage: Technical Case Note of Combined Endovascular and Microsurgical Vision-Sparing Treatment |
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