Strategy for the Patient with Tuberculum Sellae Meningioma Combining Bilateral Internal Artery Aneurysm.
- Author:
Ki Yong CHA
1
;
Sang Keun PARK
;
Yong Soon HWANG
;
Tae Hong KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, Korea. skpark@sanggyepaik.ac.kr
- Publication Type:Case Report
- Keywords:
Intracranial aneurysms;
Tuberculum sellae meningioma;
Endovascular embolization
- MeSH:
Adult;
Aneurysm*;
Arteries*;
Brain;
Brain Neoplasms;
Carotid Artery, Internal;
Female;
Humans;
Intracranial Aneurysm;
Meningioma*;
Rupture
- From:Journal of Korean Neurosurgical Society
2005;38(2):151-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 43-year-old woman was admitted with the chief complaint of progressive visual disturbance and her brain radiological studies disclosed well demarcated tumor at tuberculum sellae area and bilateral mirror image paraclinoid internal carotid artery saccular aneurysms. A larger left side aneurysm was pointing medialy and almost encased by the tumor. Although a brain tumor and intracranial aneurysm can be simultaneously treated by surgery, the high risk of intra-operative aneurysm rupture should be considered. Therefore, the author secondly performed tumor resection after the endovascular embolization of the aneurysm which was embedding the tumor using a Guglielmi detachable coil. After successful treatment of the patient with tuberculum sellae meningioma associated with bilateral mirror image paraclinoid aneurysms using endovascular and surgical techniques, the authors present the case with a review of the related literatures.
