Source:http://linkedlifedata.com/resource/pubmed/id/21165545
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2010-12-17
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pubmed:abstractText |
INTRODUCTION. Subependymomas are benign neoplasms intimately related to the ventricular system which only exceptionally associate hemorrhagic events. We present neuroradiological and pathological evidences of intratumoral hemorrhage within a single case of subependymoma operated on at our institution. Additionally we analyze retrospectively the well-defined reports of similar cases published in the scientific literature. CASE REPORT. A 71-year-old man on anticoagulant therapy presented with abrupt and progressive deterioration of his level of consciousness. Emergent computed tomography and magnetic resonance imaging evidenced signs of acute bleeding within a mass located at the frontal horn of the left lateral ventricle, producing obstructive biventricular hydrocephalus. The lesion was immediately and completely removed through a left frontal transcortical approach. Pathological diagnosis was consistent with subependymoma displaying areas of microhemorrhage. After surgery the patient developed global anterograde and retrograde amnesia. CONCLUSIONS. A spontaneous hemorrhagic event within an asymptomatic lateral ventricle subependymoma can result in a surgical emergence as a consequence of sudden obstruction of cerebrospinal fluid pathways. Prompt and radical surgical removal of the mass, which allows a rapid resolution of hydrocephalus and prevents the risk of rebleeding, may constitute the safest management strategy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1130-1473
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
478-83
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pubmed:meshHeading |
pubmed-meshheading:21165545-Aged,
pubmed-meshheading:21165545-Cerebral Hemorrhage,
pubmed-meshheading:21165545-Cerebral Ventricle Neoplasms,
pubmed-meshheading:21165545-Glioma, Subependymal,
pubmed-meshheading:21165545-Humans,
pubmed-meshheading:21165545-Lateral Ventricles,
pubmed-meshheading:21165545-Male,
pubmed-meshheading:21165545-Neurosurgical Procedures,
pubmed-meshheading:21165545-Treatment Outcome
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pubmed:year |
2010
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pubmed:articleTitle |
Spontaneous acute hemorrhage within a subependymoma of the lateral ventricle: successful emergent surgical removal through a frontal transcortical approach.
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pubmed:affiliation |
Department of Neurosurgery. Ramón y Cajal University Hospital. La Princesa University Hospital. Madrid, Spain. rocamo@gmail.com
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pubmed:publicationType |
Journal Article,
Case Reports
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