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ANEURYSM ENCASED IN ANTERIOR SKULL BASE MENINGIOMA : REVIEW OF TWO CASES
EP30879
Poster Title: ANEURYSM ENCASED IN ANTERIOR SKULL BASE MENINGIOMA : REVIEW OF TWO CASES
Submitted on 23 Oct 2019
Author(s): Dr Raghavendra H
Affiliations: KIMS SECUNDERABAD
This poster was presented at TNSCON 2018
Poster Views: 205
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Poster Information
Abstract: The coexistence of aneurysms and meningiomas is rare, and encasement of an aneurysm within a meningioma even more so. The co-existence of both lesions is not only a diagnostic challenge but also has important therapeutic implications. We analysed our experience of two such patients, both were incidentally detected with carotico opthalmic segment aneurysm while operating anterior skull base meningioma (Tuberculum Sella and Olfactory grove meningioma). Both patients were successfully treated by surgical clipping in the same sitting. Although a rare occurrence, this case suggests the possibility of asymptomatic ICA aneurysms located within anterior skull base meningiomas, Recognition of this possibility may be prudent to avoid inadvertent vascular complications during meningioma resection.


Key words: Aneurysm, meningioma, Skull base, incidentally.
Summary: The coexistence of aneurysms and meningiomas is rare, and encasement of an aneurysm within a meningioma even more so. The coexistence of both lesions is not only a diagnostic challenge but also has important therapeutic implications. Recognition of this possibility may be prudent in order to avoid inadvertent vascular complications during meningioma resection.References:
1. Javalkar V, Guthikonda B, Vannemreddy P, Nanda A. Association of
meningioma and intracranial aneurysm: Report of five cases and review
of literature.Neurol India 2009;57:772776
2. Taylor PE. Delayed postoperative haemorrhage from intracranial
aneurysm after craniotomy for tumour. Neurol 1961;11;22531 3. Arieti S. Multiple meningioma and meningiomas associated with other
brain tumors. J Neuropath Exp Neurol 1944;3:25570 4. Licata C, Pasqualin A, Freschini A, Barone G, Da Pian R. Management
of associated primary cerebral neoplasm's and vascular malformations.
Acta Neurochir 1986;82:2838 5. Pia HW, Obrador S, Martin JG. Association of brain tumours and
arterial intracranial aneurysms. Acta Neurochir (Wien) 1972;27:189
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any incidental aneurysm Various treatment options are available including conservative management, treating both pathologies simultaneously or sequentially. If the aneurysm is in close proximity to the tumour and
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