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Tan Q, Shen X, Yang H, Xu X, Guo Y, He J, Liu Q, Du X, Wang D, Zhao L. Buffer Coefficient as a Predictor of the Prognosis of Massive Cerebral Infarction. World Neurosurg 2022; 168:e538-e545. [DOI: 10.1016/j.wneu.2022.10.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/06/2022] [Accepted: 10/07/2022] [Indexed: 11/21/2022]
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Tanaka S, Kobayashi M, Ichinose T, Oikawa N, Kinoshita M, Yoshikawa A, Uchiyama N, Nakada M. Intraoperative rupture of intracerebral aneurysm immediately after meningioma resection: a case report. BMC Neurol 2022; 22:135. [PMID: 35410133 PMCID: PMC8996603 DOI: 10.1186/s12883-022-02664-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 04/05/2022] [Indexed: 12/20/2022] Open
Abstract
Background Meningiomas and unruptured cerebral aneurysms (UCAs) rarely coexist. However, the treatment strategy remains to be fully elucidated. This report is a first report that UCA related to the tumor feeder intraoperatively ruptured when the meningioma was resected. Case presentation Herein, we present a case of meningioma coexisting with contralateral UCA related to a tumor feeder. Immediately after the meningioma was resected, intraoperative acute brain swelling due to rupture of the contralateral aneurysm appeared. The swollen brain protruding into the epidural space was resected, following contralateral ruptured aneurysm was performed by endovascular surgery. Intensive neurological treatment was administered and the patient gradually recovered. Conclusion This report highlights the possibility of intraoperative UCA rupture related to the tumor feeder when the meningioma is resected. Supplementary Information The online version contains supplementary material available at 10.1186/s12883-022-02664-8.
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Affiliation(s)
- Shingo Tanaka
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.
| | - Masaaki Kobayashi
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
| | - Toshiya Ichinose
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
| | - Nozomu Oikawa
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
| | - Masashi Kinoshita
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
| | - Akifumi Yoshikawa
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
| | - Naoyuki Uchiyama
- Department of Neurosurgery, Ishikawa Prefectural Central Hospital, Ishikawa, Japan
| | - Mitsutoshi Nakada
- Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
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