[Complications during preoperative embolization in intracranial meningioma].
We report a rare case of meningioma of the parieto-occipital convexity accompanied by hemorrhage in the tumor and in the subdural space that occurred while pre-operative embolization was being applied. The patient, a 48 year old woman, presented sudden headache and, in a few minutes, comatose status and decerebrate rigidity. A quick diagnosis with CT-scan of acute intratumoral and subdural hemorrhage and a rapid intervention on the patient led to complete recovery. The possible reason for the hemorrhage is the sudden change in blood pressure of pathologic small vessels triggered by embolization.
Beretta
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Servizio di Anestesia e Rianimazione, Istituto Scientifico H San Raffaele, Milano.
Dell'Acqua
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A
Giorgi
E
E
Napolitano
L
L
Tommasino
C
C
Righi
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C
Ferrari da Passano
C
C
Motti
E
E
D001932:Brain Neoplasms / Q000150:complications*; D002543:Cerebral Hemorrhage / Q000209:etiology*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000150:complications*; D008579:Meningioma / Q000150:complications*; D008875:Middle Aged; D011300:Preoperative Care
Complicanza in corso di embolizzazione pre-operatoria di meningioma intracranico.