Evidence map›Paper›PMID 41896454›Full record

ArticleNeurosurgical review2026

Single-stage purely endoscopic surgery for sellar tumors coexisting with intracranial aneurysm: a case series and technical note.

Yang Gao, Chen Li, Zhi Li, Puyuan Zhao, Zeyang Li, Tengfei Liu, Liangliang Yang, Hantao Yang, Zhigang Yang, Xiaobiao Zhang

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In one paragraph

Article in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yang Gao *Department of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Chen Li *Department of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Zhi Li *Department of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Puyuan ZhaoDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Zeyang LiDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Tengfei LiuDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Liangliang YangDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Hantao YangDepartment of Neurosurgery, Shanghai Geriatric Medical Center, 2560 Chunshen Road, Shanghai, China.
Zhigang YangDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China. yang.zhigang1@zs-hospital.sh.cn.
Xiaobiao ZhangDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China. xiaobiao_zhang@163.com.

Funding

Shanghai Municipal Health Commission and Shanghai Administration of Traditional Chinese Medicine ZXXT-202310Shanghai Municipal Health Commission Clinical Research Special Program 202240126
6 · The paper itself

Abstract

Coexisting intracranial aneurysms may be encountered during sellar tumor surgery, but no consensus has been reached on standardized treatment strategies. The simultaneous treatment of sellar tumors resection and coexisting intracranial aneurysms in a single-stage surgery has rarely been reported. Here, we report a case series of sellar tumors coexisting with intracranial aneurysms during a single-stage via purely endoscopic surgery in a single center between January 2015 and July 2022. The patients’ clinical information, including age, sex, symptoms, as well as aneurysm location, treatment modality, procedure details, clinical and imaging outcome, was collected and analyzed. Among the selected 8 patients with sellar region tumors combined aneurysms, 3 had craniopharyngiomas, 4 had pituitary tumors, and 1 had meningioma. Among the coexisting intracranial aneurysms, 3 were anterior communicating aneurysms, 4 were internal carotid artery (ICA) aneurysms in the ophthalmic artery segment, and 1 was a middle cerebral artery (MCA) bifurcation aneurysm. Seven aneurysms were diagnosed before surgery, and 1 was diagnosed after intraoperative rupture. Postoperative follow-ups using computed tomography angiography (CTA) or digital subtraction angiograph (DSA) revealed complete aneurysms clipping, and enhanced magnetic resonance imaging (MRI) revealed tumor resection. Seven patients had a modified Rankin scale (mRS) score of ≤ 1 and one patient died from postoperative complications. Therefore, preoperative cerebrovascular examination is recommended for patients with sellar tumors to exclude the possibility of intracranial aneurysms, and it is feasible to complete tumor resection and aneurysm clipping in one single-stage purely endoscopic surgery.

Indexed as

CraniopharyngiomaIntracranial AneurysmMeningiomaNeuroendoscopyPituitary NeoplasmsSella TurcicaAdultAgedEndoscopyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeurosurgical ProceduresTreatment OutcomeAneurysm ruptureEndoscopic endonasal approachIntracranial aneurysmSellar tumorSingle-stage

Identifiers

PMID41896454

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