巨大床突旁动脉瘤合并凸面脑膜瘤1例报告并文献复习

Coexistence of giant paraclinoid aneurysm and meningioma(report of one case and review of literature)

目的探讨颅内动脉瘤合并脑膜瘤的临床特征及治疗方式。方法回顾性分析1例巨大床突旁动脉瘤合并脑膜瘤患者的诊断及治疗过程,并对相关文献进行复习。结果予以患者一次手术入路切除凸面脑膜瘤,并行左颞浅动脉-大脑中动脉双搭桥及左颈内动脉慢性阻断术治疗床突旁动脉瘤,疗效满意。结合文献复习,颅内动脉瘤合并脑膜瘤患者以女性多见,首发症状多由脑肿瘤引起,多数患者可以同期行脑膜瘤切除及动脉瘤夹闭术。结论颅内动脉瘤合并脑膜瘤属于偶发性,根据患者首发症状、两者相对位置、动脉瘤破裂风险等选择合适的治疗方式,有条件者争取同期一次手术入路治疗。

Objective To investigate clinical characteristics and treatment strategy of the coexistence of intracranial aneurysms and meningiomas.Methods The clinical data of one patient with coexistence of giant paraclinoid aneurysm and convexity meningioma was analyzed retrospectively and the literature were reviewed.Results Both pathologies were treated at the same time using single approach in this patient.Giant paraclinoid aneurysm was treated by double superficial temporal artery-middle cerebral artery bypass and chronic internal carotid artery occlusion.As the literature review demonstrated,in the majority of patients,clinical symptoms were caused by tumor growth.Treatment of both pathologies in one session was performed in most patients.Conclusions Coexistence of intracranial aneurysm and meningioma may be a coincidence.Treatment strategies should be designed according to the presenting symptom,the relative location of both lesions and the rupture risk of the aneurysm.If possible,treatment of both lesions in one session should be performed.