Author/Editor     Dolenc, Vinko V; Pregelj, Rado; Slokan, Samo; Škrbec, Miha
Title     Anterior communicating artery aneurysm associated with tuberculum sellae meningioma: case report
Type     članek
Source     Neurol Med Chir (Tokyo-Shinkei geka)
Vol. and No.     Letnik 38, št. 8
Publication year     1998
Volume     str. 485-8
Language     eng
Abstract     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 roundshaped, 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 ACoroA aneurysro with a calcified wall could not be clipped or resected and was left alone. His visual deficit improved postoperatively.
Descriptors     CEREBRAL ANEURYSM
MENINGEAL NEOPLASMS
MENINGIOMA
VISION DISORDERS
MIDDLE AGE
CEREBRAL ANGIOGRAPHY
MAGNETIC RESONANCE IMAGING
SELLA TURCICA
TOMOGRAPHY, EMISSION-COMPUTED