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...

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Veröffentlicht in:Neurologia medico-chirurgica 1998, Vol.38(8), pp.485-488
Hauptverfasser: DOLENC, Vinko V., PREGELJ, Rado, SLOKAN, Samo, SKRBEC, Miha
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Sprache:eng
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Zusammenfassung: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.
ISSN:0470-8105
1349-8029
DOI:10.2176/nmc.38.485