Concomitant Intracranial Aneurysm Clipping and Meningioma Resection: Surgical Strategy and Considerations

The simultaneous occurrence of brain aneurysms and brain tumors creates a complicated clinical scenario requiring extensive surgical planning. The study seeks to illuminate the safety, effectiveness, and prospective advantages of combination surgical intervention.

We analyzed 10 patients concurrently diagnosed with both cerebral aneurysm and meningioma who received simultaneous microsurgical intervention. Clinical and demographic data, encompassing lesion characteristics, surgical specifics, complications, and outcomes, was extracted. The Karnofsky Performance Status Scale (KPS) was utilized to assess functional status preoperatively, after discharge, and during the final follow-up. Descriptive statistics and visualizations were produced via Python tools and libraries.

The predominant demographic was female (90%), with a median surgical age of 58 years. All patients presented with WHO Grade 1 meningiomas and predominantly incidental aneurysms, typically situated in the middle cerebral artery. At a median follow-up of 27 months, functional results demonstrated improvement, with 10% of patients reporting tumor recurrence or necessitating resurgery, while the total death rate was 20%.

The simultaneous occurrence of intracranial aneurysms and brain tumors is infrequent. This study demonstrates that simultaneous aneurysm clipping and tumor resection with the same method is both viable and secure. A comprehensive evaluation of the patient and an extensively devised surgical plan are essential for the effective management of these complex cases.