Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis
Ruptured oncotic aneurysms from choriocarcioma metastasis are very rare. One rare case of metastatic cerebral choriocarcioma with an initial presentation of intracerebral hemorrhage is reported. A 25-year-old woman initially presented with sudden onset of alteration of consciousness. The computed to...
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Medknow Publications & Media Pvt Ltd
2013
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pubmed-36674612013-06-05 Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis Wanarak, Watcharasaksilp Songkiet, Suwansirikul Case Report Ruptured oncotic aneurysms from choriocarcioma metastasis are very rare. One rare case of metastatic cerebral choriocarcioma with an initial presentation of intracerebral hemorrhage is reported. A 25-year-old woman initially presented with sudden onset of alteration of consciousness. The computed tomography scan showed left parietal hematoma and CT angiography showed a small aneurysm of the left middle cerebral arteries territories. Her chest X-ray showed two lung masses. A craniectomy was performed to remove the hematoma and decompression following the aneurysm excision. After surgery the patient regained consciousness and had no neurological deficit. The pathology reported metastatic choriocarcioma and her beta – HCG was 73,656 units. After recovery she received chemotherapy with an etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine/oncovine (EMA-CO) regimen. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3667461/ /pubmed/23741263 http://dx.doi.org/10.4103/1793-5482.110280 Text en Copyright: © Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Wanarak, Watcharasaksilp Songkiet, Suwansirikul |
spellingShingle |
Wanarak, Watcharasaksilp Songkiet, Suwansirikul Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
author_facet |
Wanarak, Watcharasaksilp Songkiet, Suwansirikul |
author_sort |
Wanarak, Watcharasaksilp |
title |
Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
title_short |
Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
title_full |
Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
title_fullStr |
Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
title_full_unstemmed |
Intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
title_sort |
intracerebral hemorrhage cause by a ruptured oncotic aneurysm from choriocarcinoma metastasis |
description |
Ruptured oncotic aneurysms from choriocarcioma metastasis are very rare. One rare case of metastatic cerebral choriocarcioma with an initial presentation of intracerebral hemorrhage is reported. A 25-year-old woman initially presented with sudden onset of alteration of consciousness. The computed tomography scan showed left parietal hematoma and CT angiography showed a small aneurysm of the left middle cerebral arteries territories. Her chest X-ray showed two lung masses. A craniectomy was performed to remove the hematoma and decompression following the aneurysm excision. After surgery the patient regained consciousness and had no neurological deficit. The pathology reported metastatic choriocarcioma and her beta – HCG was 73,656 units. After recovery she received chemotherapy with an etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine/oncovine (EMA-CO) regimen. |
publisher |
Medknow Publications & Media Pvt Ltd |
publishDate |
2013 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667461/ |
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1611982162369708032 |