Surgery for Triple Pathology of Giant Vestibular Schwannoma Associated with Carotid Artery Stenosis and Intracranial Aneurysm: Case Report

Author:

Sirko Andriy12,Dzyak Lyudmila1,Romanukha Dmytro1,Pilipenko Grigoriy12,Cherednychenko Yuri3

Affiliation:

1. Division of Postgraduate Education, Department of Nervous Diseases and Neurosurgery, Dnipropetrovsk Medical Academy, the Ministry of Health of Ukraine, Dnipro, Ukraine

2. Cerebral Neurosurgery Department No. 2, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine

3. Endovascular Center, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine

Abstract

AbstractHere we report the case of a 56-year-old woman who presented with a highly unusual combination of three pathologies, namely a giant left-sided vestibular schwannoma, severe stenosis of the left internal carotid artery, and a right anterior cerebral artery aneurysm. The chosen approach comprised three consecutive surgical procedures, namely (1) aneurysm embolization, (2) carotid stenosis stenting, and (3) vestibular schwannoma excision. This approach avoided complications and achieved a satisfactory functional outcome. To the best of our knowledge, this combination of three conditions has not been previously reported in the English-language literature.

Publisher

Georg Thieme Verlag KG

Subject

Clinical Neurology,Surgery

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