Atypical delayed intracranial haematoma following stereotactic biopsy of a right parietal anaplastic oligodendroglioma.
The history of a 73-year-old woman with an anaplastic oligodendroglioma is presented, in whom cerebral magnetic resonance imaging (MRI) and brain single-photon emission tomography (SPECT) revealed an intracerebral lesion 17 months before, which was misinterpreted as cerebral infarction. Stereotactic biopsy confirmed the diagnosis, but 4 days after biopsy an unexpected fatal subdural and intraparenchymal bleeding occurred on the biopsy site. Neuroradiological aspects in the differential diagnosis of cerebral lesions as well as the role of small silent postbiopsy haematoma concerning further clinical deterioration are discussed.
Kranz
Roland
R
Department of Neurosurgery, Medical University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Gliemroth
Jan
J
Gaebel
Christian
C
Reincke
Birgit
B
Arnold
Hans
H
Kehler
Uwe
U
D000368:Aged; D001706:Biopsy / Q000009:adverse effects*; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology; D002544:Cerebral Infarction / Q000175:diagnosis; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D009837:Oligodendroglioma / Q000175:diagnosis* / Q000473:pathology; D010296:Parietal Lobe / Q000473:pathology*; D013238:Stereotaxic Techniques / Q000009:adverse effects; D013997:Time Factors; D015899:Tomography, Emission-Computed, Single-Photon