Volume 2, Issue 1 (6-2016)                   Iran J Neurosurg 2016, 2(1): 25-30 | Back to browse issues page

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Capozza M, Barbagli G, Boschi A, Ashraf-Noubari B, Nappini S, Limbucci N, et al . Delayed Bilateral Symptomatic Vasospasm after Resection of a Skull Base Meningioma: Report on a New Case and Literature Review . Iran J Neurosurg. 2016; 2 (1) :25-30
URL: http://irjns.org/article-1-35-en.html
1- , barbagli.giovanni@gmail.com
Abstract:   (2019 Views)

Background and Importance: Symptomatic vasospasm is a well-known pathology associated with ruptured aneurysms. Nevertheless, this condition is rarely found as a result of skull base tumor removal.

Case Presentation: We reported a new case of 40-year-old woman previously treated for a tuberculum and diaphragma sellae meningioma showing symptomatic vasospasm after twelve post-operative days without previously documented sub-arachnoid hemorrhage (SAH). A digital subtraction angiography (DSA) was performed, and a bilateral vasospasm was detected. After subsequent endovascular treatments by intra-arterial infusion of nimodipine, the patient experienced a full recovery. Conclusion: Symptomatic vasospasm after meningioma removal is a challenging and life-threatening condition. Early diagnosis is the key for successful treatment. 

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Type of Study: Case report | Subject: Gamma Knife Radiosurgery
* Corresponding Author Address: Department of Neurosurgery, University of Florence, Largo Palagi 1, Florence, Italy

1. Leroux PD, Haglund MM, Mayberg MR, Winn HR. Symptomatic cerebral vasospasm following tumor resection: report of two cases. Surgical Neurology. 1991;36(1):25-31. [DOI:10.1016/0090-3019(91)90128-V]
2. Alotaibi NM, Lanzino G. Cerebral vasospasm following tumor resection. Journal of Neurointerventional Surgery. 2013;5(5):413-8. [DOI:10.1136/neurintsurg-2012-010477] [PMID]
3. Bejjani GK, Sekhar LN, Yost AM, Bank WO, Wright DC. Vasospasm after cranial base tumor resection: pathogenesis, diagnosis, and therapy. Surgical Neurology. 1999;52(6):577-84. [DOI:10.1016/S0090-3019(99)00108-1]
4. Taussky P, Kalra R, Couldwell WT. Delayed vasospasm after removal of a skull base meningioma. Journal of Neurological Surgery Part A: Central European Neurosurgery. 2012;73(04):249-52. [DOI:10.1055/s-0032-1313589] [PMID]
5. Wilson JL, Feild JR. The production of intracranial vascular spasm by hypothalamic extract. Journal of Neurosurgery. 1974;40(4):473-9. [DOI:10.3171/jns.1974.40.4.0473] [PMID]
6. DeMonte F, Smith HK, Al-Mefty O. Outcome of aggressive removal of cavernous sinus meningiomas. Journal of Neurosurgery. 1994;81(2):245-51. [DOI:10.3171/jns.1994.81.2.0245] [PMID]
7. Kusunose M, Fukuda O, Saito T, Takaku A, Endo S. [Diffuse cerebral artery vasospasm following total resection of posterior fossa meningioma: a case report]. No shinkei geka. Neurological Surgery. 1997;25(10):953-7. [PMID]
8. Cooke-Yarborough C, Turner J, Pell M, Sheehy J. Myonecrosis of the middle cerebral artery with thrombosis and cerebral infarction following resection of meningioma. Pathology. 1993;25(4):416-9. [DOI:10.3109/00313029309090872] [PMID]
9. Chang SD, Yap OS, Adler JR. Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis. Surgical Neurology. 1999;51(5):521-7. [DOI:10.1016/S0090-3019(97)00313-3]
10. Bejjani GK, Duong DH, Kalamarides M, Ziyal I, Sullivan BJ. Cerebral vasospasm after tumor resection. A case report. Neuro-Chirurgie. 1996;43(3):164-8.
11. Bejjani GK, Sekhar LN, Yost AM, Bank WO, Wright DC. Vasospasm after cranial base tumor resection: pathogenesis, diagnosis, and therapy. Surgical Neurology. 1999;52(6):577-84. [DOI:10.1016/S0090-3019(99)00108-1]
12. Krayenbuhl H. Beitrag zur Frage des cerebralen angiospastischen Insultes. Schweiz Med Wochenschr. 1960;90:961-5.

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