Author/Authors :
Capozza, Matteo University of Florence, Florence, Italy , Barbagli, Giovanni University of Florence, Florence, Italy , Boschi, Andrea University of Florence, Florence, Italy , Ashraf-Noubari, Bahman Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Nappini, Sergio Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Limbucci, Nicola Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Consoli, Arturo Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Renieri, Leonardo Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Rosi, Andrea Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Mangiafico, Salvatore Azienda Ospedaliero Universitaria Careggi, Florence, Italy , Ammannati, Franco
Abstract :
Background and Importance: Symptomatic vasospasm is a well-known pathology associated with ruptured aneurysms. Nevertheless,
this condition is rarely found as a result of skull base tumor removal.
Case Presentation: We reported a new case of 40-year-old woman previously treated for a tuberculum and diaphragma sellae meningioma
showing symptomatic vasospasm after twelve post-operative days without previously documented sub-arachnoid hemorrhage
(SAH). A digital subtraction angiography (DSA) was performed, and a bilateral vasospasm was detected. After subsequent endovascular
treatments by intra-arterial infusion of nimodipine, the patient experienced a full recovery.
Conclusion: Symptomatic vasospasm after meningioma removal is a challenging and life-threatening condition. Early diagnosis is
the key for successful treatment.
Keywords :
Cerebral Vasospasm , Tumor Resection , Meningioma , Nimodipine , Diaphragma Sellae , Tuberculum Sellae
