Article
Aneurysmal subarachnoid haemorrhage masking associated glioblastoma: case report and review of literature
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Published: | June 9, 2017 |
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Outline
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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.