Intracranial hemorrhage associated with convexity meningioma after cerebral angiography--case report

Neurol Med Chir (Tokyo). 2010 Jan;50(1):67-70. doi: 10.2176/nmc.50.67.

Abstract

A 63-year-old female developed left hemiparesis caused by intracranial intratumoral and peritumoral hemorrhage with cerebral herniation 4 days after cerebral angiography to evaluate right convexity and petrosal meningiomas. The cerebral angiography procedure may have caused the tumoral edema and intracranial hemorrhage because computed tomography on admission revealed the right convexity meningioma as slightly low density compared to before the hemorrhage. Administration of contrast medium is known to cause complications involving microcirculatory collapse and blood-brain barrier dysfunction associated with brain tumors. Therefore, the contrast medium may have affected the meningioma after cerebral angiography.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood-Brain Barrier / drug effects
  • Blood-Brain Barrier / physiopathology
  • Cerebral Angiography / adverse effects*
  • Cerebral Cortex / blood supply
  • Cerebral Cortex / diagnostic imaging
  • Cerebral Cortex / pathology
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / etiology*
  • Cerebral Hemorrhage / pathology
  • Contrast Media / adverse effects*
  • Female
  • Humans
  • Iatrogenic Disease
  • Meningeal Neoplasms / blood supply
  • Meningeal Neoplasms / diagnostic imaging*
  • Meningeal Neoplasms / pathology
  • Meningioma / blood supply
  • Meningioma / diagnostic imaging*
  • Meningioma / pathology
  • Microcirculation / drug effects
  • Microcirculation / physiology
  • Middle Aged
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology
  • Postoperative Complications / pathology
  • Skull Base Neoplasms / blood supply
  • Skull Base Neoplasms / diagnostic imaging
  • Skull Base Neoplasms / pathology
  • Tomography, X-Ray Computed

Substances

  • Contrast Media