• World Neurosurg · Aug 2019

    Case Reports

    Glioblastoma presenting as spontaneous subarachnoid hemorrhage: a technical case note of combined endovascular and microsurgical vision sparing treatment.

    • Darius Tan, Christopher Daly, Chris Xenos, Leon T Lai, and Ronil V Chandra.
    • Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia. Electronic address: Darius.Tan@monashhealth.org.
    • World Neurosurg. 2019 Aug 1; 128: 426-430.

    BackgroundClinical utility of endovascular adjunct for tumor resection is well established, but its role in acute subarachnoid hemorrhage secondary to neoplastic pseudoaneurysm rupture has not been reported.Case DescriptionWe discuss a 46-year-old patient presenting with a World Federation of Neurological Surgeons grade 1 subarachnoid hemorrhage from a ruptured posterior cerebral artery pseudoaneurysm due to glioblastoma tumor invasion.ConclusionsA combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway.Copyright © 2019 Elsevier Inc. All rights reserved.

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