%0 Journal Article %A Capozza, Matteo %A Barbagli, Giovanni %A Boschi, Andrea %A Ashraf-Noubari, Bahman %A Nappini, Sergio %A Limbucci, Nicola %A Consoli, Arturo %A Lenieri, Leonardo %A Rosi, Andrea %A Mangiafico, Salvatore %T Delayed Bilateral Symptomatic Vasospasm after Resection of a Skull Base Meningioma: Report on a New Case and Literature Review %J Iranian Journal of Neurosurgery %V 2 %N 1 %U http://irjns.org/article-1-35-en.html %R 10.18869/acadpub.irjns.2.1.25 %D 2016 %K Cerebral Vasospasm, Tumor Resection, Tuberculum Sellae, Diaphragma Sellae, Nimodipine, Meningioma, %X 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. %> http://irjns.org/article-1-35-en.pdf %P 25-30 %& 25 %! %9 Case report %L A-10-32-2 %+ MD, Resident in Neurosurgery, University of Florence, Florence, Italy %G eng %@ 2423-6497 %[ 2016