• World Neurosurg · Jul 2023

    Case Reports

    Remote hemorrhagic complications of glioma surgery: Systematic review of the literature and report of a case of distant wounded glioma syndrome, a rare neurosurgical complication.

    • André Luiz Girotto, Guilherme Gago, and Paglioli FerreiraMarceloMDepartment of Neurosurgery, Hospital São José, Santa Casa de Misericórdia of Porto Alegre, Porto Alegre-RS, Brazil..
    • Faculty of Medicine, Federal University of Rio Grande (FURG), Rio Grande-RS, Brazil. Electronic address: andreluizgirotto@gmail.com.
    • World Neurosurg. 2023 Jul 1; 175: e738e744e738-e744.

    BackgroundHemorrhage following glioma resection usually happens in tissues that were surgically manipulated. Remote bleeding is a rare and serious complication that is still poorly understood. Distant wounded glioma syndrome is a special type of this complication, where bleeding happens in a glioma lesion that was not surgically manipulated.MethodsA systematic review was conducted on the MEDLINE and Scielo databases. A new case of distant wounded glioma syndrome was reported and added to the results.ResultsWe identified 501 articles using the search strategy and screened them. We reviewed the full text of 58 articles, of which 4 met the eligibility criteria. Including our new case, only 5 articles reported hemorrhage in locations remote from the resection site, with a total of 6 patients.ConclusionsRemote bleeding, including distant wounded glioma syndrome, is a rare complication that should be considered in cases of postoperative deterioration, especially in cases of symptoms not congruent with the operated site.Copyright © 2023 Elsevier Inc. All rights reserved.

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