The etiology and treatment of craniopharyngioma with aneurysm
10.3760/cma.j.cn115455-20220414-00306
- VernacularTitle:颅咽管瘤并发颅内动脉瘤的病因及治疗
- Author:
Mengqing HU
1
;
Fangjun LIU
;
Zhongqing ZHOU
;
Yuming SUN
;
Hai QIAN
;
Ting LEI
;
Xin XIANG
;
Xiang′en SHI
Author Information
1. 首都医科大学三博脑科医院神经外科，北京 100093
- Keywords:
Craniopharyngioma;
Blood blister-likeaneurysm;
Internal carotid artery fusiform aneurysm;
Etiology;
Treatment
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(8):689-695
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the etiology and treatment of craniopharyngioma with aneurysm.Methods:Seven cases of craniopharyngioma with aneurysm from March 2014 to October 2019 treated in Sanbo Brain Hospital, Capital Medical University were retrospectively analyzed. Among the 7 patients, there were 5 males and 2 females. There were 4 cases of recurrent craniopharyngiomas, 1 case of primary tumor and 2 cases of non-recurrence tumor. Three patients with blood blister-like aneurysms were treated with microsurgical suture after craniopharyngioma resection. Among the three cases with internal carotid artery fusiform aneurysm, 1 case underwent craniopharyngioma resection after internal maxillary artery-radial artery-middle cerebral artery bypass and isolation of the aneurysm; 1 case only underwent internal maxillary artery-radial artery-middle cerebral artery bypass and isolation of the aneurysm for non-recurrence tumor; 1 case underwent craniopharyngioma resection and dynamic observation of aneurysm. One case with a cystic aneurysm of the middle cerebral artery was clipped and the craniopharyngioma did not relapse.Results:All patients had no serious postoperative complications. During the follow-up period, there was no recurrence of craniopharyngioma, no recurrence of treated aneurysms, and the stability of aneurysms was observed.Conclusions:Inflammatory stimulation of craniopharyngioma cystic fluid and operation itself are the important reasons for the occurrence of aneurysms after craniopharyngioma surgery. Choosing appropriate surgical methods can complete the removal of craniopharyngioma and the treatment of aneurysms at one time.
