Takahashi T, Saitoh K, Suzuki S
No Shinkei Geka. 1985 Jun;13(6):675-9.
We report three cases of coincidental cerebral aneurysm with brain tumor. The incidence of such cases has been said to be 0.3 to 0.7% of all brain tumor cases, and, in our experience, has been 0.9% of 315 patients with brain tumor during the last decade. Case No. 1 was a 60-year-old female suffering from subarachnoid hemorrhage followed by left oculomotor nerve palsy due to rupture of left ICPC aneurysm, with left convexity meningioma which was found incidentally during preoperative cerebral angiography. Case No. 2 was a 47-year-old female suffering from headache, right exophthalmos, and bilateral papilledema. Preoperative CT scan and angiographies revealed right sphenoidal ridge meningioma and unruptured right middle cerebral aneurysm. Case No. 3 was a 28-year-old male with acromegaly. Pituitary adenoma and unruptured anterior communicating artery aneurysm were found preoperatively by CT scan and by angiography, respectively. All cases were well diagnosed preoperatively and surgically treated successfully.
我们报告了3例脑动脉瘤合并脑肿瘤的病例。据说此类病例的发生率占所有脑肿瘤病例的0.3%至0.7%，而根据我们的经验，在过去十年中，315例脑肿瘤患者中此类病例的发生率为0.9%。病例1是一名60岁女性，因左侧颈内后交通动脉瘤破裂导致蛛网膜下腔出血，继而出现左侧动眼神经麻痹，术前脑血管造影偶然发现左侧凸面脑膜瘤。病例2是一名47岁女性，患有头痛、右眼突出和双侧视乳头水肿。术前CT扫描和血管造影显示右侧蝶骨嵴脑膜瘤和未破裂的右侧大脑中动脉瘤。病例3是一名28岁男性，患有肢端肥大症。术前CT扫描和血管造影分别发现垂体腺瘤和未破裂的前交通动脉瘤。所有病例术前均得到明确诊断，并成功接受了手术治疗。
