Hemorrhage into Glioblastoma at a Traffic Accident

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


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


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Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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2007 Issue 1

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