Raygor Kunal P, Rowland Nathan C, Cooke Daniel L, Solomon David A, Huang Michael C
UCSF Center for Stroke and Cerebrovascular Disease, Department of Neurological Surgery, University of California, San Francisco, CA, United States.
Neuro-Interventional Section, Department of Radiology, University of California, San Francisco, CA, United States.
J Cerebrovasc Endovasc Neurosurg. 2014 Sep;16(3):293-8. doi: 10.7461/jcen.2014.16.3.293. Epub 2014 Sep 30.
Hemangioblastomas are World Health Organization (WHO) Grade I neoplasms of the hindbrain and spinal cord, whose management can be complicated by preoperative hemorrhage. We report on a case of a young female in extremis with posterior fossa hemorrhage following rupture of a fusiform posterior meningeal artery aneurysm embedded within a medullary hemangioblastoma. We discuss management options, including operative staging and embolization, and review similar cases of hemangioblastoma associated with aneurysm.
血管母细胞瘤是世界卫生组织(WHO)分级为I级的后颅窝和脊髓肿瘤,其治疗可能因术前出血而变得复杂。我们报告了一例年轻女性患者,该患者患有髓内血管母细胞瘤,其中包绕的梭形后颅窝硬脑膜动脉动脉瘤破裂后出现后颅窝出血,病情危急。我们讨论了治疗方案,包括手术分期和栓塞,并回顾了与动脉瘤相关的血管母细胞瘤的类似病例。