Combined interventional and craniotomy surgery for meningioma apoplexy complicated by acute subdural hematoma: a case report and literature review - Summary - MDSpire

Combined interventional and craniotomy surgery for meningioma apoplexy complicated by acute subdural hematoma: a case report and literature review

  • By

  • Chenglong Li

  • Ting Kang

  • Yong Ma

  • Zhenyu Zhang

  • Jie Zhou

  • Zhibiao Cai

  • June 18, 2026

  • 0 min

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Objective:

To present a case of meningioma apoplexy complicated by acute subdural hematoma and to review the existing literature on this rare condition, highlighting its clinical significance.

Key Findings:
  • Spontaneous hemorrhage from meningiomas is rare, occurring in 1%-2% of cases, which underscores the need for awareness in clinical settings.
  • Concurrent acute subdural hematoma is even rarer, highlighting the complexity of such cases.
  • The patient underwent successful gross total resection of the tumor and evacuation of the hematoma, demonstrating the effectiveness of the hybrid approach.
Interpretation:

The hybrid surgical approach allows for integrated diagnosis and treatment, enhancing management efficiency for meningioma-related complications, particularly when compared to traditional methods.

Limitations:
  • The case study is based on a single patient, limiting generalizability and highlighting the need for further research.
  • Potential risks associated with preoperative embolization were not fully explored, indicating a gap in understanding.
Conclusion:

The combined endovascular-craniotomy approach effectively improves patient prognosis in cases of meningioma apoplexy with ASDH, emphasizing its importance in the broader context of meningioma treatment.

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