ReviewSurgical neurology international2024
Concurrent meningioma and intracranial aneurysm: Insights from an updated systematic review and a case report.
Review in Surgical neurology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Treatment and outcomes of concomitant parasellar meningiomas and anterior circulation aneurysms: a systematic review and perspective in the endovascular era.Neurosurgical review · 2025Pooled it
- Treatment Algorithm for Concomitant Parasellar Meningiomas and Proximal Intracranial ICA Aneurysms in the Flow Diversion Era.Journal of neurological surgery. Part B, Skull base · 2026Article
- Incidental meningiomas discovered during intracranial aneurysm clipping: The importance of intraoperative dural biopsy.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Managing Dual Intracranial Pathologies of a Ruptured ACA Aneurysm Presenting Concomitantly with a Large Anterior Fossa Meningioma: Illustrative Case with Operative Video and Literature Review.Journal of neurological surgery reports · 2026Article
- Single-stage purely endoscopic surgery for sellar tumors coexisting with intracranial aneurysm: a case series and technical note.Neurosurgical review · 2026Article
- Concomitant Intracranial Aneurysm Clipping and Meningioma Resection: Surgical Strategy and Considerations.Cancers · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The concurrent presentation of meningioma and intracranial aneurysm (IA) poses diagnostic and therapeutic challenges, with no standardized management protocol available. This study aims to address this through an updated systematic review, delineating optimal strategies for managing this dual pathology. Methods: A systematic review was conducted across PubMed, Web of Science, and Embase databases. Articles were screened independently by two reviewers. Treatment strategies and patient outcomes were comprehensively analyzed to formulate a treatment framework based on several characteristics. In addition, one concurrent meningioma and IA case from our institution was presented. Results: A total of 69 articles comprising 115 patients were included in the study. The cohort exhibited a female predominance (80%) with a mean age of 56 (±13) years. Meningiomas were primarily localized to the frontotemporal and sellar regions, while aneurysms favored the anterior circulation - notably, 16.5% of cases presented with ruptured aneurysms. Management strategies varied based on the spatial relationship between lesions and aneurysm rupture status. In unruptured cases, 34% underwent a single craniotomy for simultaneous resection of both pathologies, while endovascular intervention was favored when the IA originated from an artery feeding the meningioma (73%). Remarkably, postoperative aneurysm rupture occurred in 33% of cases managed solely through tumor resection (range 0-30 days postop). Conclusion: This study proposes a comprehensive treatment algorithm to guide neurosurgeons in managing concurrent meningioma and IA cases. By considering individual patient intricacies, the feasibility of simultaneous management, aneurysm rupture risk, and symptomatology, this framework is a valuable tool for clinical decision-making in these complex scenarios.
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