Subarachnoid Hemorrhage in a Patient With a Meningioma and an Unruptured Aneurysm:—Case Report—
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概要
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Subarachnoid hemorrhage (SAH) is usually elicited by cerebrovascular disease and infrequently by brain tumors. A 64-year-old woman presented with SAH with a left petrous meningioma and an unruptured left internal carotid-posterior communicating artery (IC-PcomA) aneurysm. She suffered sudden onset of headache and nausea followed by consciousness disturbance 7 days after onset. Computed tomography (CT) revealed diffuse SAH and a tumor at the petrous portion. Angiography demonstrated a left IC-PcomA aneurysm. Under a diagnosis of a ruptured aneurysm and a coincidental meningioma, we performed neck clipping of the aneurysm. However, intraoperatively we found that the aneurysm was unruptured and we subsequently performed tumor resection. Intraoperatively we could not find the cause of SAH during resection of the meningioma. The histological diagnosis was transitional meningioma with deposition of fibrin on the surface of the tumor. The findings of initial CT and magnetic resonance imaging, and pathological results could not conclude the definitive etiology of SAH in this case.
著者
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Tomita Takahiro
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Murakami Kensuke
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Kanamori Masayuki
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Nishijima Michiharu
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Takahashi Noboru
Department Of Cardiovascular Medicine
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Sasaki Tatsuya
Department Of Aeronautics And Space Engineering Tohoku University
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TAKAHASHI Noboru
Department of Neurosurgery, Aomori Prefectural Central Hospital
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KAKEHATA Shinya
Division of Radiology, Aomori Prefectural Central Hospital
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KUROTAKI Hidekachi
Division of Pathology, Aomori Prefectural Central Hospital
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