Intraoperative Aneurysm Rupture during Resection for Presumed Metastasis
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UMass Chan Affiliations
New England Center for Stroke ResearchDivision of Neuroimaging and Intervention, Department of Radiology
Document Type
Journal ArticlePublication Date
2019-08-09Keywords
Aneurysmangiography
brain metastasis
clipping
coiling
endovascular treatment
melanoma
Analytical, Diagnostic and Therapeutic Techniques and Equipment
Cardiovascular Diseases
Neoplasms
Nervous System Diseases
Neurology
Radiology
Metadata
Show full item recordAbstract
A 54-year-old male with metastatic melanoma, including a presumed brain metastasis underwent elective surgery when there was sudden onset of extensive bleeding upon resection. An emergent cerebral angiogram revealed a fusiform left posterior cerebral artery aneurysm. Malignant melanoma commonly metastasizes to the brain and has shown to assume a wide variety of appearances with involvement of almost any intracranial structures. The unexpected intraoperative finding required immediate action and strategic rethinking. The patient successfully underwent vessel sacrifice by means of coil embolization.Source
J Stroke Cerebrovasc Dis. 2019 Aug 9:104319. doi: 10.1016/j.jstrokecerebrovasdis.2019.104319. [Epub ahead of print] Link to article on publisher's site
DOI
10.1016/j.jstrokecerebrovasdis.2019.104319Permanent Link to this Item
http://hdl.handle.net/20.500.14038/48388PubMed ID
31402086Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.jstrokecerebrovasdis.2019.104319