Subarachnoid hemorrhage after surgery of the medulla oblongata hemangioblastoma:A case report

作     者：Xiang Yang Yuekang Zhang Xuesong Liu Maojun Chen 

作者机构：Department of Neurosurgery West China Hospital of Sichuan University 

出 版 物：《Translational Neuroscience and Clinics》 (临床转化神经医学（英文版）)

年 卷 期：2016年第2卷第3期

页      面：195-198页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 100204[医学-神经病学] 10[医学] 

基　　金：the National Natural Science Foundation of China:Emergency Management Project 

主　　题：hemangioblastoma medulla oblongata subarachnoid hemorrhage ventricular hemorrhage 

摘      要：Objectives: To discuss the bleeding mechanisms after removing a medulla oblongata hemangioblastoma. Methods: A 42-year-old male patient was diagnosed with a medulla oblongata hemangioblastoma. Preoperative cranial magnetic resonance imaging, computed tomography angiography and post-surgery computed tomography were completed during clinical procedure. We also reviewed the related literatures. Results: The preoperative computed tomography angiography did not demonstrate any intracranial aneurysm. But, the patient had a fatal subarachnoid hemorrhage with ventricular hemorrhage 4 hours after surgery following the post-surgery computed tomography. Conclusions: Subarachnoid hemorrhage after surgery of the medulla oblongata hemangioblastoma is very rare. Delayed postoperative hemorrhage seems the most reasonable explanation of Subarachnoid hemorrhage in our case.