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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2018; 79(02): e65-e69
DOI: 10.1055/s-0038-1666806
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Surgery for Triple Pathology of Giant Vestibular Schwannoma Associated with Carotid Artery Stenosis and Intracranial Aneurysm: Case Report

Andriy Sirko
1   Division of Postgraduate Education, Department of Nervous Diseases and Neurosurgery, Dnipropetrovsk Medical Academy, the Ministry of Health of Ukraine, Dnipro, Ukraine
2   Cerebral Neurosurgery Department No. 2, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine
,
Lyudmila Dzyak
1   Division of Postgraduate Education, Department of Nervous Diseases and Neurosurgery, Dnipropetrovsk Medical Academy, the Ministry of Health of Ukraine, Dnipro, Ukraine
,
Dmytro Romanukha
1   Division of Postgraduate Education, Department of Nervous Diseases and Neurosurgery, Dnipropetrovsk Medical Academy, the Ministry of Health of Ukraine, Dnipro, Ukraine
,
Grigoriy Pilipenko
1   Division of Postgraduate Education, Department of Nervous Diseases and Neurosurgery, Dnipropetrovsk Medical Academy, the Ministry of Health of Ukraine, Dnipro, Ukraine
2   Cerebral Neurosurgery Department No. 2, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine
,
Yuri Cherednychenko
3   Endovascular Center, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine
› Author Affiliations
Further Information

Publication History

30 October 2017

14 May 2018

Publication Date:
28 June 2018 (online)

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Abstract

Here we report the case of a 56-year-old woman who presented with a highly unusual combination of three pathologies, namely a giant left-sided vestibular schwannoma, severe stenosis of the left internal carotid artery, and a right anterior cerebral artery aneurysm. The chosen approach comprised three consecutive surgical procedures, namely (1) aneurysm embolization, (2) carotid stenosis stenting, and (3) vestibular schwannoma excision. This approach avoided complications and achieved a satisfactory functional outcome. To the best of our knowledge, this combination of three conditions has not been previously reported in the English-language literature.

Keywords

vestibular schwannoma - carotid artery stenosis - intracranial aneurysm - triple pathology
 

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