Temporal lobe meningioma concurrent with multiple intracranial aneurysms

Area of Science:

• Neurosurgery
• Vascular Neurology
• Neuro-oncology

Background:

• Internal carotid artery aneurysms, particularly in the ophthalmic artery segment, are uncommon.
• Simultaneous occurrence of intracranial aneurysms and meningiomas is exceptionally rare.

Observation:

• An adult female presented with a deep temporal lobe meningioma and bilateral internal carotid artery-ophthalmic segment aneurysms.
• The patient underwent a single-stage surgical procedure involving a right frontotemporal craniotomy.

Findings:

• Surgical removal of the meningioma was performed first, followed by anterior clinoid process removal.
• Bilateral internal carotid artery-ophthalmic segment aneurysms were successfully clipped during the same operation.
• The surgical technique involved tumor resection, anterior clinoidectomy, and aneurysm clipping with vessel clips.

Implications:

• This case highlights the feasibility of a one-stage surgical management for concurrent meningiomas and internal carotid artery-ophthalmic segment aneurysms.
• The successful outcome underscores the importance of considering rare co-occurrences in neurovascular and neurosurgical practice.
• This approach may offer a streamlined treatment strategy for complex cerebrovascular and neoplastic pathologies.