Abstract | BACKGROUND: CASE DESCRIPTION: A 38-week pregnant 26-year-old woman presented with an acute left frontal hemorrhage. She underwent emergency cesarean section, followed by hematoma evacuation and resection of what grossly appeared to be a medium-sized arteriovenous malformation at the time of surgery. Angiogram before and after resection showed no obvious vascular pathology. One month later, she returned with status epilepticus, and an acute parenchymal hematoma posterior to the surgical resection cavity was identified. Angiography showed a multilobulated pseudoaneurysm along the left middle cerebral artery. This was resected and found on histopathology to have choriocarcinoma within and around the blood vessels. Serum human chorionic gonadotrophin levels increased daily. Pan computed tomography showed a left lung lobular mass. The diagnosis was stage 4 World Health Organization score 9 high-risk metastatic choriocarcinoma requiring radiation followed by multiagent chemotherapy. Two weeks later, she had another seizure. An angiogram showed an unruptured pseudoaneurysm along the right posterior cerebral artery, which was embolized. CONCLUSIONS:
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Authors | Crystal Jing Jing Yeo, Gavin W Britz, Suzanne Z Powell, R Glenn Smith, Yi J Zhang |
Journal | World neurosurgery
(World Neurosurg)
Vol. 109
Pg. 247-250
(Jan 2018)
ISSN: 1878-8769 [Electronic] United States |
PMID | 28987845
(Publication Type: Journal Article)
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Copyright | Published by Elsevier Inc. |
Topics |
- Adult
- Aneurysm, False
(complications, diagnostic imaging, surgery)
- Angiography, Digital Subtraction
- Cerebral Angiography
- Cerebral Hemorrhage
(diagnostic imaging, etiology, surgery)
- Choriocarcinoma
(complications, diagnostic imaging, surgery)
- Female
- Humans
- Intracranial Aneurysm
(complications, diagnostic imaging, surgery)
- Pregnancy
- Pregnancy Complications, Neoplastic
(diagnostic imaging, surgery)
- Recurrence
- Uterine Neoplasms
(complications, diagnostic imaging, surgery)
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