J Korean Neurosurg Soc.  2005 Aug;38(2):151-154.

Strategy for the Patient with Tuberculum Sellae Meningioma Combining Bilateral Internal Artery Aneurysm

• Cha KY
• Park SK
• Hwang YS
• Kim TH

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.

Keyword

Intracranial aneurysms; Tuberculum sellae meningioma; Endovascular embolization

MeSH Terms

Adult
Aneurysm*
Arteries*
Brain
Brain Neoplasms
Carotid Artery, Internal
Female
Humans
Intracranial Aneurysm
Meningioma*
Rupture