gms | German Medical Science

68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
7. Joint Meeting mit der Britischen Gesellschaft für Neurochirurgie (SBNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

14. - 17. Mai 2017, Magdeburg

Artikel

Artikel empfehlen

Aneurysmal subarachnoid haemorrhage masking associated glioblastoma: case report and review of literature

Meeting Abstract

Suche in Medline nach

  • Julius Höhne - Universitätsklinikum Regensburg, Klinik und Poliklinik für Neurochirurgie, Regensburg, Deutschland
  • Monika Friedrich - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland
  • Alexander T. Brawanski - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland
  • Karl-Michael Schebesch - Klinikum der Universität Regensburg, Klinik und Poliklinik für Neurochirurgie, Regensburg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocP 198

doi: 10.3205/17dgnc761, urn:nbn:de:0183-17dgnc7616

Veröffentlicht: 9. Juni 2017

© 2017 Höhne et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: Reports on malignant glioma associated with intracranial aneurysms are rare. Here, we describe the case of a 15-year old girl that presented with all the typical features of subarachnoid hemorrhage (SAH). The confirmed aneurysm was later found to be secondary to a malignant glioma.

Methods: The patient presented with all typical signs of SAH, which was confirmed by CT-scan. Bilateral ventricular drains were placed but refractory elevated intracranial pressure necessitated decompressive craniectomy before diagnostic angiography and coiling of the fusiform aneurysm could be performed. Subsequent rehabilitation was accompanied by neurologic deterioration. On follow-up imaging unmasked a contrast enhancing mass, suspicious of a high-grade glioma, which was deemed earlier as hemorrhage secondary to aneurysm rupture. Craniotomy and partial tumor resection was performed before adjuvant treatment was initiated.

Results: The course of the diagnosis and treatment is presented and discussed. Literature search revealed a very limited number of reported cases and lack of a treatment algorithm.

Conclusion: SAH in children is uncommon. Therefore, it is paramount for the treating physician to be aware of other causes.