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

Link to Article in PubMed

PubMed ID

31402086

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