Darius Tan1, Christopher Daly2, Chris Xenos2, Leon T Lai3, Ronil V Chandra4. 1. Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia. Electronic address: Darius.Tan@monashhealth.org. 2. Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia. 3. Department of Neurosurgery, Monash Health, Monash University, Melbourne, Australia; Department of Surgery, Monash University, Melbourne, Australia. 4. Department of Surgery, Monash University, Melbourne, Australia; Neuro-Interventional Radiology Unit, Department of Imaging, Monash Health, Melbourne, Australia.
Abstract
BACKGROUND: Clinical 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 DESCRIPTION: We 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. CONCLUSIONS: A combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway.
BACKGROUND: Clinical 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 DESCRIPTION: We 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. CONCLUSIONS: A combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway.