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


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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
Abstract:   (5805 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

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