AJDRAJNR - American Journal of Neuroradiology

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Case Report
INTERVENTIONAL

Postembolization Hemorrhage of a Large and Necrotic Meningioma

Simon C. H. Yua, Ronald Boetb, George K. C. Wongb, Wynnie W. M. Lama and Wai S. Poonb

a Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Hong Kong, China
b Division of Neurosurgery, Prince of Wales Hospital, Hong Kong, China

Address correspondence to Dr. Simon C. H. Yu, Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China

Summary: Microparticulate embolization of meningiomas is a useful preoperative measure, but the potential risk of hemorrhagic complications should be recognized and balanced against the benefits. We report a case of subarachnoid hemorrhage occurring immediately after the embolization of a meningioma. Techniques for early diagnosis, such as CT, and early surgical intervention are crucial to a promising outcome. Large-size and necrotic or cystic components of a meningioma are probable risk factors that demand special consideration.