Volume 1, Issue 1 (6-2015)                   Iran J Neurosurg 2015, 1(1): 43-46 | Back to browse issues page

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Mortazavi S, Shirani M, Saeedinia S, Sanjari R, Hanif H, Amirjamshidi A. Coexisting Pituitary Adenoma and Suprasellar Meningioma: A Coincidence or Causation Effect? Report of Two Cases and Review of Literature. Iran J Neurosurg. 2015; 1 (1) :43-46
URL: http://irjns.org/article-1-6-en.html
1- , Amirjamshidi@gmail.com
Abstract:   (4634 Views)

Background and Importance: The coexistence of pituitary adenoma and another type of brain tumor is a very rare clinical scenario. Even though such a presentation can be an incidental event but the possible pathogenesis of coexistence of different lesions in the sella and suprasellar region has not yet been elucidated.

Case Presentation: Two cases of concomitant sellar and suprasellar region tumors are reported. A 37-year-old lady with Prolactinoma and a suprasellar meningioma and a 42-year-old Acromegalic man with suprasellar meningioma and a pituitary adenoma (PA).

Conclusion: Both meningiomas were removed transcranially while the Prolactinoma could be managed medically and the growth hormone (GH) secreting adenoma was removed trans-sphenoidally. The visual problems and hormonal imbalances of both patients improved postoperatively and there has been no sign of recurrence of the lesions after a mean of five years follow up. The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed.

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Type of Study: Case report | Subject: Gamma Knife Radiosurgery

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