Intracranial aneurysms and optic glioma – an unusual combination: a case report

Paulis, Danilo De; Nicosia, Giancarlo; Taddei, Graziano; Vitantonio, Hambra Di; Gallieni, Massimo; Maestro, Mattia Del; Dechordi, Soheila Raysi; Galzio, Renato

doi:10.1186/s13256-016-0869-8

Cited by 9 publications

(6 citation statements)

References 15 publications

(35 reference statements)

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“…McKinney et al [ 3 ] provided evidence regarding the de novo formation of an AVM within an anaplastic oligodendroglioma in a patient and proposed the hypothesis that a hyperangiogenic stimulus provided by the tumor may have initiated the development of the AVM. A similar hypothesis was provided in previously proposed studies that claimed an increase in blood flow due to a higher blood supply to a malignant glioma may induce secondary changes in the arterial wall, thus stimulating the formation of aneurysms [ 4 , 5 ]. According to studies performed regarding C-X-C chemokine Receptor type 4 (CXCR4), Huang et al [ 6 ] demonstrated the association between CXCR4 with angiogenesis and tumor progression.…”

Section: Discussionsupporting

confidence: 71%

A Rare Triploid Involving the Coexistence of Glioblastoma Multiforme, Arteriovenous Malformation and Intracranial Aneurysm: Illustrative Case and Literature Review

Chen

Yang

et al. 2023

Medicina

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The coexistence of glioblastoma multiforme (GBM) and arteriovenous malformation (AVM) is rarely reported in the literature. According to the present literature, these GBM or glioma-related vascular malformations may present simultaneously in distinct regions of the brain or occur in the same area but at different times. So far, these distinct hypervascular glioblastomas have been described but are not classified as a separate pathological entities. Considering their heterogeneity and complexity, all the above mentioned cases remain challenging in diagnosis and therapeutic modality. Likewise, there is a paucity of data surrounding the simultaneous presentation of GBM with intracranial aneurysms. In the literature, the independent concurrence of these three intracranial lesions has never been reported. In this article, we present a case who suffered from intermittent headaches and dizziness initially and further radiographic examination revealed an internal carotid artery (ICA) aneurysm that occurred in the patient with coexisting GBM and AVM. Surgical intervention for tumor and AVM removal was performed smoothly. This patient underwent endovascular coiling for the ICA aneurysm 4 months postoperatively. In addition, we also review the current literature relating to this rare combination of medical conditions.

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Section: Discussionsupporting

confidence: 71%

A Rare Triploid Involving the Coexistence of Glioblastoma Multiforme, Arteriovenous Malformation and Intracranial Aneurysm: Illustrative Case and Literature Review

Chen

Yang

et al. 2023

Medicina

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“…[ 22 , 23 ] The direct invasion and erosion of the vascular wall by tumor cells led to the formation of aneurysm. [ 3 , 24 , 25 ] However, epidermoid tumor is avascular, and there does not exist hemodynamic stress and hormonal effects contributing to the intracranial aneurysm formation. And the epidermoid tumor cell seldom directly invaded adjacent vessels.…”

Section: Discussionmentioning

confidence: 99%

“…Cerebral aneurysms are seldom associated with primary intracranial tumor, which were reported in a wide range of tumor types, including meningioma, [ 1 ] glioma, [ 2 , 3 ] pituitary adenoma, [ 4 ] arachnoid cyst, [ 5 ] craniopharyngioma, [ 6 ] lymphoma, [ 7 , 8 ] and dermoid tumor. [ 9 ] It is estimated that the frequency of the association of primary brain tumor with intracranial aneurysm is approximately 1%.…”

Section: Introductionmentioning

confidence: 99%

Coexistence of intracranial epidermoid tumor and multiple cerebral aneurysms

Yao¹,

Zhang²,

Zheng³

et al. 2017

Medicine

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Rationale:There were a few case reports concerning epidermoid tumor coexisted with multiple cerebral aneurysms. Here, we present one case of coexistence of intracranial epidermoid tumor and multiple cerebral aneurysms and performed a literature review.Patient concerns:A 42 years old male patient was admitted to our institution with complaints of headache and dizziness.Interventions:The radiological examinations showed a hypointense lesion in the right parasellar and petrous apex region and an ipsilateral saccular aneurysm originated from the M2–M3 junction of the right middle cerebral artery (MCA) and a saccular aneurysm of the clinoid segment of right internal carotid artery (ICA).Interventions:The patients underwent a right frontotemporal approach for removal of the epidermoid tumor and clipping of the MCA aneurysm in one stage. The aneurysm located at the clinoid segment of ICA was invisible and untreated during operation.Outcomes:No postoperative complications were found in the patient. The patient's follow up after 5 years of surgical treatment was uneventful, and the untreated aneurysm remains stable.Lessons:The coexistence of intracranial epidermoid tumor and cerebral aneurysm is a rare event. The secondly inflammation in cerebral arterial wall may be responsible for the aneurysm formation. Surgical treatment of the intracranial epidermoid tumor and cerebral aneurysm repair may be an optimal scheme in one stage.

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“…1 Berbagai masalah intraoperasi pada tumor otak meliputi perdarahan intraoperasi, peningkatan tekanan intrakranial, kejang, hingga emboli udara dapat meningkatkan mortalitas dan morbiditas pasien. 2 Insiden tumor otak terjadi sekitar 24.55 per 100.000 orang. Dalam skala yang sangat kecil, tumor otak terjadi bersamaan dengan aneurisma otak, diestimasikan sebesar 0,5-4,5% kejadian.…”

Section: Pendahuluanunclassified

Manajemen Anestesi pada Kraniotomi Pengangkatan Tumor Meningioma dengan Riwayat Operasi Kliping Aneurisma: Studi Kasus

Firdaus,

Omega,

Magdalena Lantang

et al. 2023

JNI

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The co-existence of brain tumors with cerebral aneurysms is extremely rare, with an estimated incidence of 0,5-4,5%. The priority for surgical treatment of these two pathologies is not clear, where surgery on a cerebral aneurysm is sometimes performed initially before surgical removal of brain tumor. Treatment of brain tumors in patients with a history of clipping aneurysm has its own challenges in the field of anesthesia, where anesthetic action has the goal of reducing the risk of aneurysm rupture, preventing cerebral ischemia, and optimizing systemic function while facilitating surgical procedures. This case study reports on a 58-year-old woman who underwent surgical removal of a meningioma tumor with a history of aneurysm clipping. Aneurysm clipping surgery was performed 3 months before brain tumor removal. Patient with clinical headache and blurred vision in the right eye, without other neurological deficits. Anesthetic management is carried out with the target of preventing further increase in intracranial pressure, with adequate analgesia, proper brain relaxation techniques, and prevention of hypercapnia, hypocapnia, and hypoxia. In addition, blood pressure must be maintained by preventing hypotension or hypertension. At the end of the operation, the patient was extubated and transffered to the intensive care unit. On postoperative examination the patient was conscious, without seizures, and without neurological deficits.

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Intracranial aneurysms and optic glioma – an unusual combination: a case report

Cited by 9 publications

References 15 publications

A Rare Triploid Involving the Coexistence of Glioblastoma Multiforme, Arteriovenous Malformation and Intracranial Aneurysm: Illustrative Case and Literature Review

A Rare Triploid Involving the Coexistence of Glioblastoma Multiforme, Arteriovenous Malformation and Intracranial Aneurysm: Illustrative Case and Literature Review

Coexistence of intracranial epidermoid tumor and multiple cerebral aneurysms

Manajemen Anestesi pada Kraniotomi Pengangkatan Tumor Meningioma dengan Riwayat Operasi Kliping Aneurisma: Studi Kasus

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