Anterior communicating artery aneurysm associated with tuberculum sellae meningioma--case report.
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 round-shaped, 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 AComA aneurysm with a calcified wall could not be clipped or resected and was left alone. His visual deficit improved postoperatively.
Department of Neurosurgery, University Hospital Center Ljubljana, Slovenia.
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Dolenc
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Pregelj
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Slokan
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Skrbec
D002533:Cerebral Angiography; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008579:Meningioma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D012658:Sella Turcica / Q000601:surgery; D014055:Tomography, Emission-Computed; D014786:Vision Disorders / Q000209:etiology*