Endovascular Treatment and Microsurgical Clipping for the Management of Paraclinoid Intracranial Aneurysms: A Systematic Review and Meta-Analysis

Rodriguez-Calienes, Aaron; Borjas-Calderón, Nagheli Fernanda; Vivanco-Suarez, Juan; Zila-Velasque, J. Pierre; Chavez-Malpartida, Sandra S.; Terry, Fernando; Grados-Espinoza, Pamela; Saal-Zapata, Giancarlo

doi:10.1016/j.wneu.2023.07.108

Cited by 6 publications

(1 citation statement)

References 92 publications

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“…However, the endovascular technique cannot be used to treat all aneurysms. In some cases, it is associated with lower occlusion rates and greater recurrence than microsurgery ( 19 ). Flow-diverting devices are an excellent artifice for the endovascular technique but are still inferior to microsurgery in our clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Case report: Mirror paraclinoid aneurysm associated with mirror clinoidal meningioma

Paitán,

Gibbon,

Korotkov

et al. 2024

Front. Neurol.

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IntroductionClinoidal meningiomas and paraclinoid aneurysms are individually uncommon, with the coexistence of mirror paraclinoid aneurysms and clinoidal meningiomas presenting an even rarer scenario. While the association between meningiomas and aneurysms is documented, the simultaneous presence of mirror lesions for both pathologies is not reported in the literature.Clinical presentationWe report a 62-year-old female with a three-month history of moderate bifrontal headaches. Magnetic Resonance Angiography (MRA) revealed mirror paraclinoid aneurysms, prompting surgical intervention. During the procedure, mirror clinoidal meningiomas were incidentally discovered. The left aneurysm was addressed first due to higher rupture risk, followed by the right aneurysm 3 months later. Both meningiomas were confirmed as Transitional Meningiomas (Grade 1; OMS, 2021). The aneurysms were successfully clipped, and the patient had an excellent postoperative outcome.ConclusionThis case represents a unique occurrence of mirror ophthalmic segment internal carotid artery aneurysms associated with mirror clinoidal meningiomas, a combination not previously reported. Despite the limitations of MRA in detecting small meningiomas, it remains a valuable non-invasive screening tool for neurovascular diseases. The case underscores the need for further research to elucidate the association between cerebral aneurysms and meningiomas.

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Section: Discussionmentioning

confidence: 99%