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December 1966

Meningioma and Aneurysm in the Same Patient

Author Affiliations

From the Department of Neurological Surgery, The Mount Sinai Hospital, New York, and City Hospital Center at Elmhurst, New York.

Arch Neurol. 1966;15(6):629-632. doi:10.1001/archneur.1966.00470180069007

MENINGIOMA occurring with an intracranial aneurysm in the same patient has rarely been reported. Due to increasing use of cerebral angiography, this combination of lesions will be encountered more frequently. Recently, two cases of this type have been studied. In each case the meningioma was removed. In one case the aneurysm bled disastrously eight months after operation. In the second case the patient is alive and well two years after surgery. The natural history of such a disorder will be elucidated only when much more experience has been gained with this unusual complex of lesions. We shall present our two cases and their management. The existing literature on this subject has been collected.

Report of Cases  CASE 1.—This 51-year-old man had had recurrent migraine headaches for 15 years. The headaches awakened him from sleep and were associated with nausea and vomiting. The patient began to have pain behind the

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