Abstract
Although meningiomas and cerebral aneurysms are common intracranial pathologies, their coexistence in one patient is rare. We present a case of right anterior clinoid meningioma that has a concurrent right middle cerebral artery (MCA) aneurysm. A 55-year-old female complaining of right-sided visual loss was admitted to our department after magnetic resonance imaging (MRI) revealed a right anterior clinoid meningioma that was extending to sella turcica and expanded superiorly, compressing the optic chiasm. With a plan of transnasal transsphenoidal endoscopic excision, a preoperative computed tomography angiogram was obtained, per our protocol. This revealed an incidental 3 mm right MCA bifurcation aneurysm. Due to the possibility of postoperative aneurysm bleeding, the patient was operated on with a right-sided pterional craniotomy. After 5 days of postoperative follow-up, the patient was discharged without complications. The histopathological analysis confirmed the diagnosis of psammomatous meningioma. This case underlines the importance of preoperative planning and being vigilant for incidental findings that might cause fatal consequences.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
