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- Nathan Beucler, Arnaud Dagain, and Aurore Sellier.
- Neurosurgery Department, Sainte-Anne Military Teaching Hospital, Toulon, France; Ecole du Val-de-Grâce, French Military Health Service Academy, Paris, France. Electronic address: nathan.beucler@neurochirurgie.fr.
- World Neurosurg. 2023 May 24; 177: 121-2.
AbstractA 75-year-old female patient was admitted following head trauma responsible for an acute-onset neurological worsening with a Glasgow Coma Scalescore of 6. Computed tomography scan revealed a large bifrontal meningioma with extralesional bleeding causing cranio-caudal transtentorial brain herniation. Despite emergency surgical excision of the tumor using craniotomy, the patient remained comatose. The brain magnetic resonance imaging revealed a Duret brainstem hemorrhage of the upper and middle pons, associated with supratentorial decompression-related brain injuries. One month later, the patient was withdrawn from life support. To our knowledge, tumor-induced Duret brainstem hemorrhage has never been reported.Copyright © 2023 Elsevier Inc. All rights reserved.
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