Aneurysm growth after brain tumor removal: case report

Abstract

-A rare case of rapid growth of an aneurysm after a posterior fossa meningioma removal in a 69-year-old lady is reported. Serial angiography, cerebral computed tomography and magnetic resonance imaging are presented. The patient harbored risk factors to both aneurysm formation and growth as current cigarette smoking, arterial hypertension, female sex and reduction of intracranial hypertension. One-year follow up after the first surgical procedure is presented.KEY WORDS: aneurysm growth, aneurysm formation, aneurysm and brain tumor.Aumento do volume de aneurisma após remoção de tumor cerebral: relato de caso RESUMO -Um caso raro, em que ocorreu rápido aumento de volume de um aneurisma após a remoção de meningioma de fossa posterior em uma senhora de 69 anos de idade é relatado. Angiografias seriadas, tomografia computadorizada cerebral e ressonância magnética cerebral são apresentados. A paciente apresentava fatores de risco tanto para a formação como para o crescimento, de aneurismas cerebrais como hipertensão arterial, tabagismo, sexo feminino, aliados à redução da pressão intracraniana. É apresentada a evolução pós-operatória de um ano após a primeira cirurgia. PALAVRAS-CHAVE: crescimento de aneurisma, formação de aneurisma, aneurisma e tumor cerebral.

Ruptured intracranial aneurysm presenting as cerebral circulation insufficiency: A case report

“…We speculate that the patient may have experienced a rare sudden enlargement of the aneurysm after the second onset of symptoms, as previously described by Miller et al [ 11 ] and Khan et al [ 12 ]. Previous reports of the rapid growth of cystic aneurysms show that this condition often occurs in patients with atrial myxoma, inflammatory aneurysms, drug abuse, and blood vesicular aneurysms[ 13 - 16 ], and its causes have been reported to be related to pregnancy, surgery, hypertension, and sex[ 17 , 18 ]. However, all of the aforementioned factors were excluded based on the patient’s medical history, except a suspicious history of trauma.…”

Multiple intracranial meningiomas and accompanying basilar artery aneurysm Multipl intrakraniyal menenjioma eşlik eden baziler arter anevrizması

“…However, numerous authors interpret this finding as merely coincidental (1). The authors describe a previously published case report of a patient with an enlarging ACA aneurysm after the posterior fossa meningioma removal (9).…”