Objective: The simultaneous occurrence of brain aneurysms and brain tumors creates a complicated clinical scenario requiring extensive surgical planning. The study seeks to illuminate the safety, effectiveness, and prospective advantages of combination surgical intervention. Materials and Methods: We analyzed 10 patients concurrently diagnosed with both cerebral aneurysm and meningioma who received simultaneous microsurgical intervention. Clinical and demographic data, encompassing lesion characteristics, surgical specifics, complications, and outcomes, was extracted. The Karnofsky Performance Status Scale (KPS) was utilized to assess functional status preoperatively, after discharge, and during the final follow-up. Descriptive statistics and visualizations were produced via Python tools and libraries. Results: The predominant demographic was female (90%), with a median surgical age of 58 years. All patients presented with WHO Grade 1 meningiomas and predominantly incidental aneurysms, typically situated in the middle cerebral artery. At a median follow-up of 27 months, functional results demonstrated improvement, with 10% of patients reporting tumor recurrence or necessitating resurgery, while the total death rate was 20%. Conclusion: The simultaneous occurrence of intracranial aneurysms and brain tumors is infrequent. This study demonstrates that simultaneous aneurysm clipping and tumor resection with the same method is both viable and secure. A comprehensive evaluation of the patient and an extensively devised surgical plan are essential for the effective management of these complex cases.
目的：颅内动脉瘤与脑肿瘤同时发生构成复杂的临床状况，需要详尽的手术规划。本研究旨在阐明联合手术干预的安全性、有效性及潜在优势。材料与方法：我们分析了10例同时诊断为脑动脉瘤和脑膜瘤并接受同期显微外科手术的患者。提取了包括病变特征、手术细节、并发症及预后在内的临床与人口统计学数据。采用卡氏功能状态评分量表（KPS）评估患者术前、出院时及末次随访时的功能状态。通过Python工具及库生成描述性统计与可视化图表。结果：患者以女性为主（90%），中位手术年龄58岁。所有患者均为WHO 1级脑膜瘤，动脉瘤多为偶然发现，主要位于大脑中动脉。中位随访27个月后，功能结果显示改善，10%患者出现肿瘤复发或需再次手术，总死亡率为20%。结论：颅内动脉瘤与脑肿瘤同时发生较为罕见。本研究表明，采用相同术式同期行动脉瘤夹闭与肿瘤切除具有可行性与安全性。对患者进行全面评估并制定详尽的手术方案，是有效处理此类复杂病例的关键。
肿瘤(癌症)患者之家