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Titolo:
Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: Case report
Autore:
Barua, KK; Tamaki, N; Ehara, K; Nagashima, T; Suzuki, H;
Indirizzi:
Kobe Univ, Sch Med, Dept Neurosurg, Chuo Ku, Kobe, Hyogo 6500017, Japan Kobe Univ Kobe Hyogo Japan 6500017 g, Chuo Ku, Kobe, Hyogo 6500017, Japan
Titolo Testata:
SURGICAL NEUROLOGY
fascicolo: 3, volume: 54, anno: 2000,
pagine: 254 - 259
SICI:
0090-3019(200009)54:3<254:SPHAWS>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEMORRHAGE;
Keywords:
sinus confluence; meningioma; intracerebral hemorrhage;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Tamaki, N Kobe Univ, Sch Med, Dept Neurosurg, Chuo Ku, 7-5-1 Kusunoki Cho,Kobe, Hyogo 6500017, Japan Kobe Univ 7-5-1 Kusunoki Cho Kobe Hyogo Japan 6500017 017, Japan
Citazione:
K.K. Barua et al., "Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: Case report", SURG NEUROL, 54(3), 2000, pp. 254-259

Abstract

BACKGROUNDTorcular or sinus confluence meningioma is rare and surgically formidable. This reported sinus confluence meningioma was associated with peritumoral intracerebral hemorrhage. The surgical strategy and the mechanism of peritumoral hemorrhage are discussed. CASE DESCRIPTIONA 42-year-old woman presented with a history of headache, vomiting, and cerebellar dysfunction for 2 months. Plain computed tomography (CT) scan and magnetic resonance imaging (MRI) demonstrated a high-density mass in the torcular region involving both lateral sinuses. MR angiography demonstrated complete occlusion of the left lateral sinus and straight sinus and stenosisof the right lateral sinus. Two years after her first operation she experienced sudden headache and left upper quadrant hemianopsia. plain CT scan and MRI showed a hyperintense tumor in the torcular region with an intracerebral hematoma in the right occipital lobe. An angiogram demonstrated occlusion of the caudal part of the superior sagittal sinus, bilateral transverse sinuses, and straight sinus. Gross total removal of the tumor was done along with the left lateral sinus through a suboccipital and a supratentorial occipital craniotomy in the first operation. The patient underwent total resection of the tumor at second operation through a bilateral occipital and suboccipital craniotomy alongwith resection of the dura including the confluence, the caudal part of the superior sagittal sinus, the right lateral sinus, and the straight sinus. The postoperative course was uneventful and postoperative MRI showed totalremoval of the tumor. CONCLUSIONSinus confluence meningioma may present with peritumoral hemorrhage. Radical removal may be possible when the sinus confluence is completely occludedand there is good collateral drainage. (C) 2000 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 21:42:44