The First Affiliated Hospital of University of South China, Department of Neurosurgery, Hengyang, China.
Turk Neurosurg. 2024;34(2):358-361. doi: 10.5137/1019-5149.JTN.21084-17.1.
The coexistence of intracranial aneurysms and a meningioma is not a clinically common phenomenon. Here we present the case of a meningioma of the left anterior clinoid process concurrent with a right clinoid aneurysm and a ruptured aneurysm of the left posterior communicating artery (PcomA). Immediately after radiographically establishing a diagnosis of multiple aneurysms and to reduce the risk of rebleeding, we performed a microscopic surgery to clip the aneurysms using a left frontotemporal approach. During the surgery, an unexpected clinoid meningioma was detected and simultaneously resected. The patient tolerated the entire procedure well and reported no postoperative neurological deficits during the follow-up visit. The use of modern microsurgical techniques along with an appropriate approach ensured that the procedure remained both successful and safe.
颅内动脉瘤和脑膜瘤并存在临床上并不常见。在此，我们报告了一例左侧前床突脑膜瘤合并右侧床突动脉瘤和左侧后交通动脉瘤破裂的病例。在影像学诊断出多个动脉瘤后，为了降低再出血的风险，我们立即采用左额颞入路进行显微镜下手术夹闭动脉瘤。在手术过程中，意外发现并同时切除了一个床突脑膜瘤。患者整个手术过程耐受良好，随访时无术后神经功能缺损。现代显微外科技术的应用结合适当的手术入路，确保了手术的成功和安全。
