Intraoperative Aneurysm Rupture during Resection for Presumed Metastasis
Division of Neuroimaging and Intervention, Department of Radiology; New England Center for Stroke Research
Analytical, Diagnostic and Therapeutic Techniques and Equipment | Cardiovascular Diseases | Neoplasms | Nervous System Diseases | Neurology | Radiology
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.
Aneurysm, angiography, brain metastasis, clipping, coiling, endovascular treatment, melanoma
DOI of Published Version
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
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
Kuhn, Anna L.; de Macedo Rodrigues, Katyucia; and Puri, Ajit S., "Intraoperative Aneurysm Rupture during Resection for Presumed Metastasis" (2019). Radiology Publications and Presentations. 499.