1. Delayed Bilateral Symptomatic Vasospasm after Resection of a Skull Base Meningioma: Report on a New Case and Literature Review
- Author
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Matteo Capozza, Giovanni Barbagli, Andrea Boschi, Bahman Ashraf-Noubari, Sergio Nappini, Nicola Limbucci, Arturo Consoli, Leonardo Lenieri, Andrea Rosi, and Salvatore Mangiafico
- Subjects
Cerebral Vasospasm ,Tumor Resection ,Tuberculum Sellae ,Diaphragma Sellae ,Nimodipine ,Meningioma ,Surgery ,RD1-811 ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
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.
- Published
- 2016