Title
Intraoperative Aneurysm Rupture during Resection for Presumed Metastasis
UMMS Affiliation
Division of Neuroimaging and Intervention, Department of Radiology; New England Center for Stroke Research
Publication Date
2019-08-09
Document Type
Article
Disciplines
Analytical, Diagnostic and Therapeutic Techniques and Equipment | Cardiovascular Diseases | Neoplasms | Nervous System Diseases | Neurology | Radiology
Abstract
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.
Keywords
Aneurysm, angiography, brain metastasis, clipping, coiling, endovascular treatment, melanoma
DOI of Published Version
10.1016/j.jstrokecerebrovasdis.2019.104319
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
Journal/Book/Conference Title
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
Related Resources
PubMed ID
31402086
Repository Citation
Kuhn AL, de Macedo Rodrigues K, Puri AS. (2019). Intraoperative Aneurysm Rupture during Resection for Presumed Metastasis. Radiology Publications and Presentations. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104319. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/499