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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Main Authors: Wanarak, Watcharasaksilp, Songkiet, Suwansirikul
Format: Online
Language:English
Published: Medknow Publications & Media Pvt Ltd 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667461/
id pubmed-3667461
recordtype oai_dc
spelling 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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