Document Detail


Coexistence of cerebral aneurysm and meningioma--pure accident?
MedLine Citation:
PMID:  19576683     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Coexisting intracerebral aneurysms and meningiomas occur relatively rarely, without a clear relationship, although an aneurysm can be located within a meningioma. The aim of this retrospective study was to identify possible explanations for the coexistence of these conditions and to present a rationale for treatment strategies. PATIENTS AND METHODS: Ninety-five patients with coexistent meningioma and aneurysm were found in the National Library of Medicine, and 11 more patients were retrieved from our own database. RESULTS: Co-occurrence of both pathologies, sometimes solitary, sometimes multiple, was mostly found in women (3:1). Clinical symptoms in the majority of patients were caused by tumour growth, whereas aneurysm rupture was seen only in a few cases. Consequently tumour resection was performed first in 58 out of the 95 patients, and aneurysm treatment in 38 patients. From available data, the mortality rate three decades before was approximately 40%, but decreased in the last years, due to microsurgical and endovascular techniques. All of our patients were alive after 1 year of follow-up. In patients with intratumoural aneurysms, only three published and one our own case, were treated for both pathologies. CONCLUSIONS: The coexistence of meningioma and aneurysm seems to be a coincidence. Treatment should primary focus on the cause of presenting symptoms, but in cases with intratumoural aneurysm, the aneurysm should be treated first. Due to the development of microsurgical and endovascular techniques peri-procedural mortality and morbidity has decreased.
Authors:
B R Fischer; S Palkovic; M Holling; T Niederstadt; A Jeibmann; H Wassmann
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-07-02
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  111     ISSN:  1872-6968     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-08-24     Completed Date:  2009-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  647-54     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University Hospital of Muenster, Albert-Schweitzer-Strasse 33, 48129 Muenster, Germany. fischeb@mednet.uni-muenster.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Brain / blood supply,  pathology*,  surgery
Brain Neoplasms / complications*,  mortality,  pathology,  surgery
Child
Cohort Studies
Female
Humans
Intracranial Aneurysm / complications*,  mortality,  pathology,  surgery
Male
Meningioma / complications*,  mortality,  pathology,  surgery
Microsurgery / trends
Middle Aged
Neurosurgical Procedures / trends
Retrospective Studies
Sex Distribution
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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