[Intracranial Pseudoaneurysm Arising after Radiotherapy for Oligodendroglioma:A Case Report]

No Shinkei Geka. 2020 Jan;48(1):25-32. doi: 10.11477/mf.1436204129.
[Article in Japanese]

Abstract

Intracranial pseudoaneurysms arising after radiotherapy for brain tumors are a relatively rare occurrence and associated with high-volume radiotherapy such as stereotactic radiosurgery. Herein, the authors report a rare case of intracranial pseudoaneurysm after conventional radiotherapy for oligodendroglioma. Case:A 46-year-old female incidentally presented with an intracranial hemorrhage from a middle temporal artery aneurysm. Four years earlier, she underwent surgical resection and conventional radiation therapy for oligodendroglioma. The aneurysm was successfully treated with middle cerebral artery(MCA)aneurysm trapping, in conjunction with a parietal branch superficial temporal artery-MCA bypass, to prevent re-rupture. Formation of intracranial pseudoaneurysm after conventional radiotherapy is extremely rare. However, the occurrence of cerebral aneurysm(s), as well as vascular stenosis during follow-up for brain tumors treated with radiotherapy, should be considered.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False* / diagnosis
  • Aneurysm, False* / etiology
  • Brain Neoplasms* / radiotherapy
  • Cerebral Angiography
  • Female
  • Humans
  • Intracranial Aneurysm* / diagnosis
  • Intracranial Aneurysm* / etiology
  • Middle Aged
  • Middle Cerebral Artery
  • Oligodendroglioma* / radiotherapy
  • Temporal Arteries