Dolenc V V, Pregelj R, Slokan S, Skrbec M
Department of Neurosurgery, University Hospital Center Ljubljana, Slovenia.
Neurol Med Chir (Tokyo). 1998 Aug;38(8):485-8. doi: 10.2176/nmc.38.485.
A 50-year-old male presented with a very unusual case of a calcified anterior communicating artery (AComA) aneurysm associated with a tuberculum sellae meningioma. Until 10 years previously, the patient had been a professional soccer player for 15 years. He noticed a slight decrease in visual acuity in the right eye 7 years before. The patient was in the care of an oculist throughout this period. Two months before admission, a significant and rapid decrease of vision in the right eye occurred. Computed tomography and magnetic resonance imaging showed a round-shaped, partially calcified tumorous lesion. Four-vessel angiography revealed a large AComA aneurysm. During surgery, a tuberculum sellae. meningioma was found in combination with an AComA aneurysm with a completely calcified wall. The meningioma was resected totally. The AComA aneurysm with a calcified wall could not be clipped or resected and was left alone. His visual deficit improved postoperatively.
一名50岁男性，出现了一例非常罕见的病例，即钙化的前交通动脉（AComA）动脉瘤合并鞍结节脑膜瘤。直到10年前，该患者曾是一名职业足球运动员，长达15年。他7年前注意到右眼视力略有下降。在此期间，该患者一直在眼科医生处就诊。入院前两个月，右眼视力显著且迅速下降。计算机断层扫描和磁共振成像显示一个圆形、部分钙化的肿瘤性病变。四血管造影显示一个大型AComA动脉瘤。手术中，发现鞍结节脑膜瘤合并AComA动脉瘤，动脉瘤壁完全钙化。脑膜瘤被完全切除。壁钙化的AComA动脉瘤无法夹闭或切除，予以保留。术后其视力缺损有所改善。
