Volume 2, Issue 1 (6-2016)                   IrJNS 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 . IrJNS. 2016; 2 (1) :25-30
URL: http://irjns.org/article-1-35-en.html
1- Consultant
2- Resident , barbagli.giovanni@gmail.com
3- Resident
4- Director
Abstract:   (1526 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

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