Coexistence of cerebral aneurysm and meningioma—Pure accident?

Fischer, Bernhard R.; Palkovic, S; Holling, Markus; Niederstadt, T.; Jeibmann, Astrid; Wassmann, H.

doi:10.1016/j.clineuro.2009.05.016

Cited by 39 publications

(34 citation statements)

References 47 publications

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“…Fischer et al [2] noted that coexisting lesions were always solitary in 95 consecutive patients with comorbid meningioma and aneurysm, whereas multiple occurrences were less frequent. Generally, the treatment strategy is aimed to resolve the main symptoms caused by the tumor or aneurysm; Yang et al [9] reported a rare case which a ruptured paraophthalmic aneurysm was encased within meningioma and a contralateral extradural aneurysm.…”

Section: Discussionmentioning

confidence: 99%

A case report of the unilateral approach to the ruptured right ICA aneurysm together with tuberculum sella meningioma and left ICA aneurysm

et al. 2017

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Background: Tuberculum sellae meningioma associated with aneurysm is extremely rare with a limited number of individual cases previously reported. Because of the complicated anatomical structure of the skull base, comorbid disease in the sellae region is a challenging problem and is associated with high mortality in neurosurgery. Case presentation: This case report describes a rare case of comorbid bilateral internal carotid artery aneurysms and tuberculum sellae meningioma. This 58-year-old female presented with headache and nausea. She had lost her light perception in the right eye, and the right optic disc was degenerated. She also had a 5-year history of hypertension. This patient underwent a right pterional craniotomy, and we accomplished to clip the bilateral intracranial aneurysms and concurrently remove the tumor. After the surgery, we confirmed that both of the aneurysms were completely isolated, and the tumor was adequately resected. This patient had not suffered other neurological deficits. Unfortunately, her visual acuity had not recovered. Conclusions: As we know, this is the first report of a unilateral surgical approach to clip the bilateral intracranial aneurysms and concurrently remove the tumor. It may provide a reference for clinical treatment of the similar disease.

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Section: Discussionmentioning

confidence: 99%

A case report of the unilateral approach to the ruptured right ICA aneurysm together with tuberculum sella meningioma and left ICA aneurysm

et al. 2017

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“…Among these, only 14 cases involved the association between AVMs and meningiomas (1). Coexistence of an aneurysm and a meningioma was shown approximately in 100 cases (2). The association between AVMs and aneurysm according to their similar vascular nature is well known.…”

Section: Background and Importancementioning

confidence: 99%

A Rare Association between Meningioma and Two Intracranial Vascular Lesions: Case Report and Review of Literature

Boschi

Barbagli

Ashraf-Noubari

et al. 2016

IrJNS

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Background & Importance: Our study was performed based on the first case, reported in English, of a patient with three contemporary lesions, an extra-axial malformation and two vascular ones. Case Presentation:A 62-year-old man referred to our clinic due to right hand tremor associated to a slowing of idea-forming function and movements. The neuroradiological evidence showed a right fronto-temporal meningioma with the contemporary presence of an arteriovenous malformation (AVM) and of an aneurysm. The neuroradiological finding showed, also, a presumably "flow-related" right carotid-ophthalmic aneurysm with two millimeters in size. We performed the meningioma excision by the usage of cavitron ultrasonic surgical aspirator (CUSA), after the isolation of the sylvian fissure with the microdoppler and the removal of the AVM by the Hashimoto technique. Considering the very small size of the aneurysm, we decided to leave it in site. Conclusion:The post-operative examination showed a complete removal of the lesions, meningioma and AVM. We performed an exhaustive review of the current literature, and the result encompassed only another case, written in Japanese, about the contemporary presence of these three lesions.

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“…4). Performing an angio-CT may reveal the correlation between meningioma and vessels (Fischer et al 2009). Assuming a sinus invasion more information can be gathered by angiography, especially in a venous phase.…”

Section: Neuro-imagingmentioning

confidence: 99%