Olyushin V.E., Panuntsev V.S., Pak V.A., Mikhailyuk V.G.
(Polenov Research Neurosurgical Institute)
Male patient N., aged 24, was admitted to the Institute with complaints of severe headache, reduced hearing, dizziness, gait disturbance. The examination revealed tumor of supratentorial localization in the right occipital lobe and giant aneurysm of the right ICA. There was marked syndrome, indicative of increase of intracranial pressure . Thus, taking into account this fact, the patient was operated on the third day of hospitalization. Osteoplastic trephination in the right occipitoparietal area with decompression trepanation of the posterior cranial fossa was performed. Fibroplastic meningioma of the cerebellum tentorium was removed (the second stage according to Simpson). It was followed by occlusion of giant aneurysm of the cavernous segment on the right ICA.
To demonstrate a rare combination of meningioma of the cerebellum tentorium with giant aneurysm of the right ICA.