Combined interventional and craniotomy surgery for meningioma apoplexy complicated by acute subdural hematoma: a case report and literature review - Takeaways - 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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  • 1

    Spontaneous hemorrhage from meningiomas leading to intracranial hematomas is rare, occurring in 1%-2% of cases.

  • 2

    A 34-year-old female presented with meningioma apoplexy complicated by acute subdural hematoma, confirmed via imaging.

  • 3

    Emergency hybrid surgery combined endovascular evaluation and craniotomy, leading to gross total resection of the tumor.

  • 4

    Postoperative pathology confirmed the tumor as an angiomatous meningioma (WHO Grade I) with hemorrhage.

  • 5

    The hybrid surgical approach improves diagnosis and treatment efficiency for complex intracranial lesions.

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