en Gamma Knife Radiosurgery Case report <p style="text-align: justify;">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.</p> <p style="text-align: justify;">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.&nbsp;</p> Cerebral Vasospasm, Tumor Resection, Tuberculum Sellae, Diaphragma Sellae, Nimodipine, Meningioma 25 30 http://irjns.org/browse.php?a_code=A-10-32-2&slc_lang=en&sid=1 Matteo Capozza ماتئو کاپوزا 10031947532846003099 10031947532846003099 No MD, Consultant in Neurosurgery, University of Florence, Florence, Italy Giovanni Barbagli جیووانی بربگلی barbagli.giovanni@gmail.com 10031947532846003100 10031947532846003100 Yes MD, Resident in Neurosurgery, University of Florence, Florence, Italy Andrea Boschi آندرآ بوچی 10031947532846003101 10031947532846003101 No MD, Resident in Neurosurgery, University of Florence, Florence, Italy Bahman Ashraf-Noubari بهمن اشرف نوبری 10031947532846003102 10031947532846003102 No MD, Consultant in Neurosurgery, Azienda Ospedaliero Universitaria Careggi, Florence, Italy Sergio Nappini سرجیو ناپینی 10031947532846003103 10031947532846003103 No MD, Consultant in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy Nicola Limbucci نیکولا لیمبوچی 10031947532846003104 10031947532846003104 No MD, Consultant in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy Arturo Consoli آرتورو کونسولی 10031947532846003105 10031947532846003105 No MD, Consultant in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy Leonardo Lenieri لئوناردو لنیه ری 10031947532846003106 10031947532846003106 No MD, Resident in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy Andrea Rosi آندرآ روسی 10031947532846003107 10031947532846003107 No MD, Resident in Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy Salvatore Mangiafico سالواتوره مانجیافیکو 10031947532846003108 10031947532846003108 No MD, Director of Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy