The coexistence of anterior communicating artery aneurysm and meningioma: A literature review and illustrative case

Abstract

Background: Anterior communicating artery (Acom) aneurysm has an association with many types of intracranial lesions. However, its association with meningioma can be challenging, which is not well addressed in the literature. Herein, we described a literature review focused on the association between Acom aneurysm and meningioma, explicitly highlighting the spatial presence between these two pathologies. We analyzed the literature according to that association with particular emphasis on location-based challenges. Furthermore, we present an illustrative case of surgically treating both lesions in one surgery utilizing the same approach. Methods: A Medline database search was conducted by the following combined formula: (Meningioma [Title/ Abstract]) AND (Aneurysm [Title/Abstract]) AND (((Anterior communicating artery [Title/Abstract]) OR (Acom [Title/Abstract])) OR Acomm [Title/Abstract]))). Additional resources were added after screening the references of the included papers. Results: Nine patients with coexistence of Acom aneurysm and meningioma were found in the literature. The coexistence of both pathologies was found in seven females and two males. The presence of an aneurysm was found to be solitary in 66.67% (n = 6/9). Furthermore, meningioma was found to be an isolated lesion in all included cases, and in 22.2% (n = 2/9), they were located ipsilaterally. The location of the meningioma to the aneurysm seems to be in proximity. Conclusion: Acom aneurysm can coexist with intracranial meningioma; this association can be spatially related intracranially. Such coexistence entails a variety of nuances and challenges that neurosurgeons encounter during the management of these complex lesions.

Academic productivity of Iraqi medical students in the field of neurosurgery: A literature review

“…Table 1 shows the productivity of Iraqi medical students with their publications' number and type of authorship. [2][3][4][5][6][7][8][9][10][11][12][15][16][17][18][19][20][21][22][23][24][25]28,[31][32][33][34][35][36][37][39][40][41][42][43][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60]…”

“…Table 1 shows the productivity of Iraqi medical students with their publications’ number and type of authorship. [ 2 - 12 , 15 - 25 , 28 , 31 - 37 , 39 - 43 , 45 - 61 , 63 , 65 , 67 - 69 , 72 , 73 ]…”

“…Mustafa Ismail [2][3][4]6,7,9,12,16,24,32,[48][49][50][51][52][53][54][55][56]58,59,72] 22 9 first author\13 co-author Aktham O. Al-Khafaji [2,5,9,10,15,19,23,31,34,37,41,45,52,53,56] 15 3 first author\12 co-author Saja A. Albanaa [10,20,21,22,35,37,39,40,42,43,46] 11 1 first author\10 co-author Teeba A. Adnan [2,4,6,7,…”

Co-occurrence of Meningioma and Intracranial Aneurysm: A Systematic Review

“…In the 19 cases, the age mean was 54.11 years, and more than a quarter of the patients were in their 50s [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Starting from the fifth decade of life, the elasticity of a vessel along with its ability to recoil begins to decrease significantly [32].…”

A rare case of a right infratentorial meningioma and a left giant posterior communicating thrombosed aneurysm

“…Meningiomas are the predominant tumors found in such cases. [ 1 ] Others, such as pituitary adenomas, gliomas, vestibular schwannomas, lipomas, metastatic tumors, dermoid cyst, and epidermoid cyst have also been reported, although with a lower frequency. These findings suggest a complex relationship between tumors and aneurysms that warrants further research.…”