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Pseudoaneurysm following Surgical Resection of Craniopharyngioma: What Is the Best Management?Funding None.
Craniopharyngiomas are benign tumors of the sellar and parasellar region for which surgical resection remains the treatment of choice. There are many publications on the most frequent postoperative complications, but few reports on subclinical lesions affecting the arteries of the circle of Willis, despite their high morbidity and mortality rate. Trauma-induced aneurysms are infrequent, representing less than 1% of intracranial aneurysms. Iatrogenic intracranial pseudoaneurysms are a subtype of surgically induced aneurysms developed as a result of direct injury to the arterial wall or after dissection of tumors adherent to the vessel adventitia. The natural history of these lesions is not well known because their incidence is extremely low. We report two cases of postoperative aneurysms of the internal carotid artery after craniopharyngioma resection and a brief review on the management of such lesions.
Keywordscarotid artery injuries - craniopharyngioma - pseudoaneurysm - postoperative complication - aneurysm
Article published online:
30 April 2021
© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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- 1 Erfurth EM, Holmer H, Fjalldal SB. Mortality and morbidity in adult craniopharyngioma. Pituitary 2013; 16 (01) 46-55
- 2 Fernandez-Miranda JC, Gardner PA, Snyderman CH. et al. Craniopharyngioma: a pathologic, clinical, and surgical review. Head Neck. 2012; 34 (07) 1036-1044
- 3 Sutton LN, Gusnard D, Bruce DA, Fried A, Packer RJ, Zimmerman RA. Fusiform dilatations of the carotid artery following radical surgery of childhood craniopharyngiomas. J Neurosurg 1991; 74 (05) 695-700
- 4 Lakhanpal SK, Glasier CM, James CA, Angtuaco EJ. MR and CT diagnosis of carotid pseudoaneurysm in children following surgical resection of craniopharyngioma. Pediatr Radiol 1995; 25 (04) 249-251
- 5 Ciceri EFM, Regna-Gladin C, Erbetta A. et al. Iatrogenic intracranial pseudoaneurysms: neuroradiological and therapeutical considerations, including endovascular options. Neurol Sci 2006; 27 (05) 317-322
- 6 Sutton LN. Vascular complications of surgery for craniopharyngioma and hypothalamic glioma. Pediatr Neurosurg 1994; 21 (01) 124-128
- 7 Malik A, Goyal M, Mishra NK, Verma A, Gaikwad S, Mehta VS. Pseudoaneurysm of anterior communicating artery following transsphenoidal surgery for craniopharyngioma. J Clin Neurosci 1998; 5 (04) 463-464
- 8 Cappabianca P, Briganti F, Cavallo LM. de Divitiis E. Pseudoaneurysm of the intracavernous carotid artery following endoscopic endonasal transsphenoidal surgery, treated by endovascular approach. Acta Neurochir (Wien) 2001; 143 (01) 95-96
- 9 Frank G, Galassi E. Aneurysmal dilatation of ICA after tumor resection. J Neurosurg 1992; 76 (01) 169-170