Volume 2, Issue 1 (6-2016)                   Iran J Neurosurg 2016, 2(1): 22-24 | Back to browse issues page

XML Print

1- MD, Resident in Neurosurgery, University of Florence, Florence, Italy
2- MD, Resident in Neurosurgery, University of Florence, Florence, Italy , barbagli.giovanni@gmail.com
3- MD, Consultant in Neurosurgery, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
4- MD, Neurosurgery Clinic, University of Florence, Italy
5- MD, Director of Interventional Neuroradiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Abstract:   (4446 Views)

Background & Importance: Our study was performed based on the first case, reported in English, of a patient with three contemporary lesions, an extra-axial malformation and two vascular ones.
Case Presentation: A 62-year-old man referred to our clinic due to right hand tremor associated to a slowing of idea-forming function and movements. The neuroradiological evidence showed a right fronto-temporal meningioma with the contemporary presence of an arteriovenous malformation (AVM) and of an aneurysm. The neuroradiological finding showed, also, a presumably “flow-related” right carotid-ophthalmic aneurysm with two millimeters in size. We performed the meningioma excision by the usage of cavitron ultrasonic surgical aspirator (CUSA), after the isolation of the sylvian fissure with the microdoppler and the removal of the AVM by the Hashimoto technique. Considering the very small size of the aneurysm, we decided to leave it in site. 
Conclusion: The post-operative examination showed a complete removal of the lesions, meningioma and AVM. We performed an exhaustive review of the current literature, and the result encompassed only another case, written in Japanese, about the contemporary presence of these three lesions.

Full Text [PDF 1293 kb]   (1919 Downloads) |   |   Full Text (HTML)  (1160 Views)  
Type of Study: Case report | Subject: Gamma Knife Radiosurgery

1. Moumen N, Arkha Y, Chakir N, Jiddane M. Coexistence of intracranial meningiomas and vascular malformations: A fortuitous association or direct relationship?. Diagnostic and Interventional Imaging. 2012;93(1):67-71. [DOI:10.1016/j.diii.2011.11.004] [PMID]
2. Fischer BR, Palkovic S, Holling M, Niederstadt T, Jeibmann A, Wassmann H. Coexistence of cerebral aneurysm and meningioma—Pure accident?. Clinical Neurology and Neurosurgery. 2009;111(8):647-54. [DOI:10.1016/j.clineuro.2009.05.016] [PMID]
3. Fukawa O, Tanaka T. [The association of intracranial meningioma with arteriovenous malformation and aneurysm (author's transl)]. No shinkei geka. Neurological Surgery. 1977;5(2):175-80. [PMID]
4. Kader A, Young WL, Pile-Spellman J, Mast H, Sciacca RR, Mohr JP, et al. The influence of hemodynamic and anatomic factors on hemorrhage from cerebral arteriovenous malformations. Neurosurgery. 1994;34(5):801-8. https://doi.org/10.1227/00006123-199405000-00003 [DOI:10.1097/00006123-199405000-00003] [PMID]
5. Kondziolka D, Nixon BJ, Lasjaunias P, Tucker WS, TerBrugge K, Spiegel SM. Cerebral arteriovenous malformations with associated arterial aneurysms: hemodynamic and therapeutic considerations. Canadian Journal of Neurological Sciences/Journal Canadien des Sciences Neurologiques. 1988;15(02):130-4. [DOI:10.1017/S0317167100027487] [PMID]
6. Cushing H, Eisenhardt. Meningiomas: their classification, regional behaviour, life history, and surgical end results. Springfield Illinois: Charles C. Thomas; [785] 1938 [PMID] [PMCID]
7. Kasantikul V, Brown WJ. Meningioangiomatosis in the absence of von Recklinghausen's disease. Surgical Neurology. 1981;15(1):71-5. [DOI:10.1016/S0090-3019(81)80095-X]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.