Simultaneous Resection of Pituitary Adenoma and Contiguous Cavernous Sinus Meningioma: A Case Report

Cavernous sinus meningiomas and pituitary adenomas, among the most prevalent benign intracranial neoplasms, rarely occur simultaneously. The proximity of these tumors in a shared location adds to the rarity of diagnosis, posing a unique challenge in their management. This report describes the case of a 52-year-old woman who presented with seizures, severe headaches, diplopia, and rapidly worsening vision. Imaging uncovered two distinct lesions: a pituitary adenoma located in the sellar region and an adjoining cavernous sinus meningioma. The patient underwent a single-stage transcranial approach, enabling the complete resection of both tumors. Histopathological analysis subsequently affirmed the initial diagnosis. Following the surgery, the patient experienced an enhancement in visual acuity without any postoperative complications. We emphasize the significance of a meticulous review of preoperative images, a crucial step that informs our tailored approach for each patient. At times, unique associations come to light. In this particular case, we proudly present the adept resection of adjacent tumors using transcranial surgery, underscoring a favorable recovery marked by the absence of post-procedural neurological deficits.