Repeated spontaneous intra-tumoural and subarachnoid haemorrhage in an anticoagulated patient with a previously-irradiated vestibular Schwannoma: Case report.

Anticoagulants / adverse effects Female Humans Middle Aged Neuroma, Acoustic / drug therapy Radiosurgery / adverse effects Subarachnoid Hemorrhage / etiology
Anticoagulation Intra-tumoural haemorrhage. radiosurgery Spontaneous subarachnoid hemorrhage Vestibular schwannoma

Journal

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 17 10 2019
accepted: 18 11 2019
pubmed: 2 1 2020
medline: 5 9 2020
entrez: 2 1 2020
Statut: ppublish

Résumé

Subarachnoid hemorrhage caused by vestibular schwannomas (VS) is rare with no clear pathological mechanism supported in the existing literature. However, anticoagulation treatment as well as previous radiation therapy appear to be a crucial risk factor for subarachnoid haemorrhage from a VS. We report an unusual case of both intratumoural and subarachnoid haemorrhage in a patient with a VS on anticoagulation treatment previously treated with stereotactic radiosurgery. We emphasize the need for caution when considering the use of radiation therapy for treatment of VS in patients on chronic anticoagulation therapy.

Identifiants

DOI: 10.1016/j.jocn.2019.11.018 PMID: 31892494
pubmed: 31892494
pii: S0967-5868(19)32028-4
doi: 10.1016/j.jocn.2019.11.018
pii:
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

323-325

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Samuel Moscovici (S)

Department of Neurosurgery, Hadassah Hebrew University Medical Centre, Jerusalem, Israel.

Rebecca Limb (R)

Departments of Neurosurgery and ENT, The Royal Melbourne Hospital, Melbourne, Australia.

Amit Azriel (A)

Department of Neurosurgery, Soroka University Medical Centre and Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel. Electronic address: azriela@post.bgu.ac.il.

Robert Briggs (R)

Departments of Neurosurgery and ENT, The Royal Melbourne Hospital, Melbourne, Australia.

Nicholas Hall (N)

Departments of Neurosurgery and ENT, The Royal Melbourne Hospital, Melbourne, Australia.

Andrew H Kaye (AH)

Department of Neurosurgery, Hadassah Hebrew University Medical Centre, Jerusalem, Israel; Department of Surgery, The University of Melbourne, Melbourne, Australia.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents hématologiques › Anticoagulants › Repeated spontaneous intra-tumoural and...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Repeated spontaneous intra-tumoural and...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Repeated spontaneous intra-tumoural and...
questionsmedicales.fr › Maladies du système nerveux › Atteintes des nerfs crâniens › Atteintes du nerf vestibulocochléaire › Neurinome de l'acoustique › Repeated spontaneous intra-tumoural and...
questionsmedicales.fr › Techniques d'investigation › Techniques stéréotaxiques › Radiochirurgie › Repeated spontaneous intra-tumoural and...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Hémorragie › Hémorragies intracrâniennes › Hémorragie meningée › Repeated spontaneous intra-tumoural and...