Acute tumoral bleeding in recurrent falx meningioma after stereotactic radiosurgery: a case report

Summary We report a 39-year-old man who underwent stereotactic radiosurgery for recurrent right frontal falx meningioma. Severe headache with transient loss of consciousness occurred 3 hours after the procedure. Emergent image study revealed tumor bleeding with rupture into the ventricles. Conservative treatment was administered and six-month follow-up revealed no complications. Although SRS has proven to be a safe therapeutical option for intracranial tumors, acute tumoral bleeding may occur in a benign intracranial tumor after SRS.