Hemorrhage into Glioblastoma at a Traffic Accident

Czech version

Authors: L. Navrátil ¹; J. Kastner ²; P. Mukenšnabl ³
Authors‘ workplace: Neurochirurgické oddělení FN Plzeň ¹; Radiodignostická klinika FN Plzeň ²; Šiklův patologicko-anatomický ústav FN Plzeň ³
Published in: Cesk Slov Neurol N 2007; 70/103(1): 94-97
Category: Case Report

Overview

Symptomatic hemorrhage from a brain tumor is uncommon. The concidence of a trauma and brain tumor hemorrhage is quite rare. A 51-year-old patient had a traffic accident as a car driver. One hour after the injury he was comatose (GCS 6) with mydriasis on the right. According to CT the development of the brain contusion with intracranial hemorrhage in the right parietal region was thought of. The decompressive craniectomy with external ventricular drainage was carried out. CT scan and agiography led to the correct diagnosis- hemorrhage of the malignant tumor origin. The tumor was resected 3 days after the injury. Histological examinations proved multiform glioblastoma. We can only speculate whether the tumor bleeding started spontaneously or after the trauma.

Key words:
traumatic brain haemorrhage- tumoral hemorrhage- traffic accident

Sources

1. Can SM, Aydin Y, Turkmenoglu O, Aydin F, Ziyal I. Giant cell glioblastoma manifesting as traumatic intracerebral hemorrhage--case report. Neurol Med Chir (Tokyo) 2002; 42(12): 568-71.

2. Gross A, Prochnicka B. Intraventricular hemorrhage originating from choroid plexus angioma in a road accident victim. Z Rechtsmed. 1989; 102(6): 409-13.

3. Licata B, Turazzi S. Bleeding cerebral neoplasms with symptomatic hematoma. J Neurosurg Sci 2003; 47(4): 201-10.

4. Kondzioka D, Bernstein M, Resch L, Tator ChH, Flemig R,Vanderlinden RG et al. Significance of haemorrhage in brain tumour. Clinicopathological study. J Neurosurg 1987; 67: 852-7.

5. Barth H, Fritsch G, Haaks T. Intracerebral hematoma as an acute manifestation of intracranial tumors. Nervenarzt 1994; 65(12): 854-8.

6. Bitoh S, Hasegawa H, Ohtsuki H, Obashi J, Fujiwara M, Sakurai M. Cerebral neoplasms initially presenting with massive intracerebral hemorrhage. Surg Neurol 1984; 22(1): 57-62.

7. Nutt SH, Patchell RA. Intracranial hemorrhage associated with primary and secondary tumors. Neurosurg Clin N Am 1992; 3(3): 591-9.

8. Petzold GC, Valdueza JM, Zimmer C. Cerebral metastasis of renal carcinoma mimicking venous haemorrhagic infarction. J Neurol Neurosurg Psychiatry 2004; 75(3): 477.

9. Wakai S, Yamakawa K, Manaka S, Takakura K. Spontaneous intracranial haemorrhage caused by brain tumours. Its incidence and clinical significance. Neurosurgery 1982; 10: 437-44.

10. Bludovský D, Hes O, Choc M, Michal M. Intracerebral Supratentorial malignant Schwannoma: Case Report. Ces a Slov Neurol Neurochir 2005; 68/101 (2): 120-3.