Cerebral Infarction Related to Carmustine Wafers in Glioblastoma: A Case Report

Mitsutoshi Nakada; Shingo Tanaka; Masahiro Oishi; Katsuyoshi Miyashita; Kouichi Misaki; Masanao Mohri; Yasuhiko Hayashi; Naoyuki Uchiyama; Takuya Watanabe; Yutaka Hayashi

doi:10.2176/nmccrj.2014-0080

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Cerebral Infarction Related to Carmustine Wafers in Glioblastoma: A Case Report

Mitsutoshi Nakada, Shingo Tanaka, Masahiro Oishi, Katsuyoshi Miyashita, Kouichi Misaki, Masanao Mohri, Yasuhiko Hayashi, Naoyuki Uchiyama, Takuya Watanabe, Yutaka Hayashi

著者情報

キーワード: carmustine, glioblastoma, vasospasm, cerebral infarction

ジャーナルフリー HTML 早期公開

論文ID: 2014-0080

DOI https://doi.org/10.2176/nmccrj.2014-0080

この記事には本公開記事があります。

The final version of this article is now available: Vol. 2 (2015), No. 1 pp. 36-39

詳細

抄録

Implantation of carmustine-impregnated wafers (Gliadel^®) into the tumor resection cavity has demonstrated a survival benefit for patients with malignant glioma. However, some precautions should be taken regarding Gliadel implantation. We report a case of a 63-year-old man with glioblastoma who was implanted with Gliadel after a left temporal lobe tumor had been removed, and who later developed vasospasm of the lenticulostriate artery close to the implanted Gliadel, leading to serious cerebral infarction. Therefore, the implantation of Gliadel in cases where important vessels run close to the resection cavity should be considered with great caution.

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