Features of treatment of patients with combination of aneurysm or arteriovenous malformations and intracranial tumors: clinical cases and a literature review

Вестник неврологии, психиатрии и нейрохирургии Pub Date : 2023-05-25 DOI:10.33920/med-01-2305-07

F. V. Grebenev, I. V. Chernov, A. N. Konovalov, O. I. Sharipov, S. A. Galstyan, A. S. Kheyreddin, S. A. Maryashev, Sh. Sh. Eliava, P. L. Kalinin

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Abstract

The combination of vascular pathology of the brain and neurooncological disease is quite rare in neurosurgical practice: the combination with aneurysms is in the range of 0.7–5.4 %, while the true incidence of combinations with arteriovenous malformations (AVMs) is unknown due to the extremely rare occurrence. Such combinations present several problems, such as the early preoperative diagnosis of vascular pathology, as well as the tactics of treating such patients. There is no consensus in the literature regrading the treatment tactics for such patients.The aim of this work is to present modern approaches to the treatment of patients with a combination of vascular and oncological intracranial pathologies, as well as our own clinical cases: combinations of chordoma, tumor of the pyramid of the temporal bone,and aneurysm, meningioma of the base of the anterior cranial fossa (ACF) and aneurysm, meningioma of the base of the ACF an AVM, and glioblastoma and AVM.

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动脉瘤或动静脉畸形合并颅内肿瘤的治疗特点:临床病例及文献复习

脑血管病变与神经肿瘤合并的情况在神经外科实践中相当罕见，合并动脉瘤的发生率在0.7 - 5.4%之间，而合并动静脉畸形(AVMs)的真实发生率因其极为罕见而未知。这样的组合提出了几个问题，如早期术前血管病理诊断，以及治疗这类患者的策略。关于这类患者的治疗策略，文献中没有达成共识。这项工作的目的是介绍血管和肿瘤颅内病变患者的现代治疗方法，以及我们自己的临床病例:脊索瘤，颞骨金字塔肿瘤，动脉瘤，前颅窝底部脑膜瘤(ACF)和动脉瘤，前颅窝底部脑膜瘤和AVM，胶质母细胞瘤和AVM的组合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Вестник неврологии, психиатрии и нейрохирургии

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