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

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, w...

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Autores principales: Tanaka, Shingo, Kobayashi, Masaaki, Ichinose, Toshiya, Oikawa, Nozomu, Kinoshita, Masashi, Yoshikawa, Akifumi, Uchiyama, Naoyuki, Nakada, Mitsutoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996603/
https://www.ncbi.nlm.nih.gov/pubmed/35410133
http://dx.doi.org/10.1186/s12883-022-02664-8
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author Tanaka, Shingo
Kobayashi, Masaaki
Ichinose, Toshiya
Oikawa, Nozomu
Kinoshita, Masashi
Yoshikawa, Akifumi
Uchiyama, Naoyuki
Nakada, Mitsutoshi
author_facet Tanaka, Shingo
Kobayashi, Masaaki
Ichinose, Toshiya
Oikawa, Nozomu
Kinoshita, Masashi
Yoshikawa, Akifumi
Uchiyama, Naoyuki
Nakada, Mitsutoshi
author_sort Tanaka, Shingo
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-022-02664-8.
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spelling pubmed-89966032022-04-12 Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report Tanaka, Shingo Kobayashi, Masaaki Ichinose, Toshiya Oikawa, Nozomu Kinoshita, Masashi Yoshikawa, Akifumi Uchiyama, Naoyuki Nakada, Mitsutoshi BMC Neurol Case Report 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-022-02664-8. BioMed Central 2022-04-11 /pmc/articles/PMC8996603/ /pubmed/35410133 http://dx.doi.org/10.1186/s12883-022-02664-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Tanaka, Shingo
Kobayashi, Masaaki
Ichinose, Toshiya
Oikawa, Nozomu
Kinoshita, Masashi
Yoshikawa, Akifumi
Uchiyama, Naoyuki
Nakada, Mitsutoshi
Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
title Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
title_full Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
title_fullStr Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
title_full_unstemmed Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
title_short Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
title_sort intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996603/
https://www.ncbi.nlm.nih.gov/pubmed/35410133
http://dx.doi.org/10.1186/s12883-022-02664-8
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