Open AccessCoincident craniopharyngioma and unruptured aneurysm at the right M1- M2 segment of the middle cerebral artery. Case report 1
Author(s) -
Williams Escalante,
Denis Isao Ueoka,
Eduardo Andre Goulart de Alcântara,
Anderson Rodrigo de Sousa,
Paulo Henrique Pires de Aguiar,
Allan Zimmermann
Publication year - 2019
Publication title -
jornal brasileiro de neurocirurgia
Language(s) - English
Resource type - Journals
eISSN - 2446-6786
pISSN - 0103-5118
DOI - 10.22290/jbnc.v29i01.1719
Subject(s) - medicine , craniopharyngioma , aneurysm , magnetic resonance imaging , middle cerebral artery , radiology , magnetic resonance angiography , angiography , cerebral angiography , surgery , cardiology , ischemia
We report a case of coincident craniopharyngioma with an unruptured aneurysm at the right M1- M2 segment of the middle cerebral artery; and discuss the surgical approach to two different pathologies treated at same surgical time, as well as current theories to explain the coincidence or association between tumor and vascular lesions at the sellar and suprasellar regions. The patient was a 59-year-old woman; with a history of visual impairment and headache. Both lesions were identified by magnetic resonance imaging (MRI) and cerebral angiography, and were treated surgically. We suggest individualized treatment for each case, choosing the best neurosurgical approach to achieve an appropriate treatment of both pathologies in the same operative session.