■颈静脉血管球瘤(GJT)是罕见的颅内肿瘤。通常,这些病变伴有颅神经麻痹,头痛,和脑积水.很少,GJT表现为自发性蛛网膜下腔出血。然而,在一般脑肿瘤或特别是颈静脉血管球瘤继发脑积水的患者中,从未有关于脑室-腹腔分流术后弥漫性蛛网膜下腔出血的报道。
■作者介绍了在一名61岁女性患者中插入脑室-腹膜分流术(VPS)后,弥漫性蛛网膜下腔出血的一种极为罕见的并发症,该患者被诊断具有临床和放射学特征继发于高血管巨大颈静脉球瘤的急性梗阻性脑积水。
■脑室-腹腔分流术后蛛网膜下腔出血是一种极其罕见的并发症。应强烈考虑术前CT血管造影,以寻找极度血管化的肿块性病变中相关的血管畸形。鉴于GJT的所有治疗选择并不普遍,特别是在低收入和中等收入环境中,GJT的不良结果是重要的,它促进了全球神经外科议程。
UNASSIGNED: Glomus jugulare tumors (GJTs) are rare intra-cranial tumors. Commonly, these lesions present with cranial nerve palsies, headaches, and hydrocephalus. Rarely, GJTs present with spontaneous subarachnoid hemorrhage. However, there has never been a report of diffuse subarachnoid hemorrhage following ventriculoperitoneal shunt insertion in a patient who developed hydrocephalus secondary to any brain tumor in general or glomus jugulare tumors in particular.
UNASSIGNED: The authors presented an extremely rare complication of diffuse subarachnoid hemorrhage following the insertion of a ventriculoperitoneal shunt (VPS) in a 61-year-old female patient who was diagnosed to have both clinical and radiologic features of acute obstructive hydrocephalus secondary to a highly vascular huge glomus jugulare tumor.
UNASSIGNED: Subarachnoid hemorrhage following ventriculoperitoneal shunt insertion for hydrocephalus caused by a mass lesion is an extremely rare complication. Preoperative CT angiography should be strongly considered to look for the associated vascular malformations in extremely vascularized mass lesions. Given the not ubiquitous availability of all therapeutic options for GJTs, especially in low and middle income settings contributes for the poor outcome of GJTs and it fosters a global neurosurgery agenda.