Non-occlusive mesenteric ischemia during bevacizumab treatment for glioblastoma: a case report

Acta Neurochir (Wien). 2022 Oct;164(10):2767-2771. doi: 10.1007/s00701-022-05328-1. Epub 2022 Jul 30.

Abstract

Glioblastoma is one of the most aggressive brain tumors in adults. The standard treatment is radiotherapy and chemotherapy based on the Stupp regimen after maximal safe resection. One effective chemotherapeutic drug is bevacizumab, which can prolong progression-free survival in glioblastoma patients but not overall survival. Adverse events of bevacizumab include hypertension, proteinuria, delayed wound healing, bleeding of the nose and gums, and thromboembolism resulting in gastrointestinal perforation. Herein, we describe an autopsy case of a patient with glioblastoma who died from non-occlusive mesenteric ischemia that was presumably caused by bevacizumab.

Keywords: Bevacizumab; Glioblastoma; Non-occlusive mesenteric ischemia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiogenesis Inhibitors / adverse effects
  • Bevacizumab / adverse effects
  • Brain Neoplasms* / surgery
  • Glioblastoma* / drug therapy
  • Humans
  • Mesenteric Ischemia* / chemically induced
  • Mesenteric Ischemia* / drug therapy

Substances

  • Angiogenesis Inhibitors
  • Bevacizumab