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Volume 2, Issue 1 (6-2016)
Iran J Neurosurg 2016, 2(1): 25-30 |
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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
URL: http://irjns.org/article-1-35-en.html
Matteo Capozza1 
, Giovanni Barbagli *2 , Andrea Boschi3 , Bahman Ashraf-Noubari4 , Sergio Nappini5 , Nicola Limbucci5 , Arturo Consoli5 , Leonardo Lenieri6 , Andrea Rosi6 , Salvatore Mangiafico7
, Giovanni Barbagli *2 , Andrea Boschi3 , Bahman Ashraf-Noubari4 , Sergio Nappini5 , Nicola Limbucci5 , Arturo Consoli5 , Leonardo Lenieri6 , Andrea Rosi6 , Salvatore Mangiafico7
1- MD, Consultant in Neurosurgery, University of Florence, Florence, Italy
2- MD, Resident in Neurosurgery, University of Florence, Florence, Italy ,barbagli.giovanni@gmail.com
3- MD, Resident in Neurosurgery, University of Florence, Florence, Italy
4- MD, Consultant in Neurosurgery, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
5- MD, Consultant in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
6- MD, Resident in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
7- MD, Director of Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
2- MD, Resident in Neurosurgery, University of Florence, Florence, Italy ,
3- MD, Resident in Neurosurgery, University of Florence, Florence, Italy
4- MD, Consultant in Neurosurgery, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
5- MD, Consultant in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
6- MD, Resident in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
7- MD, Director of Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Abstract: (7427 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.
Keywords: Cerebral Vasospasm, Tumor Resection, Tuberculum Sellae, Diaphragma Sellae, Nimodipine, Meningioma
Type of Study: Case report |
Subject:
Gamma Knife Radiosurgery
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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