Concomitant Microsurgical Resection of an Olfactory Groove Meningioma and Clip Ligation of an Anterior Communicating Artery Aneurysm Via the Anterior Interhemispheric Approach
Abstract
A 67-year-old woman presented with confusion, cognitive decline, and unsteady gait. Brain imaging showed a large olfactory groove meningioma and an incidental anterior communicating artery (AComA) aneurysm immediately posterior to it. Concomitant microsurgical tumor resection and aneurysm clip ligation were successfully performed using a bifrontal interhemispheric approach. Postoperative imaging demonstrated gross total tumor resection and complete aneurysm obliteration. The patient’s mental and cognitive functions improved significantly and she regained her ability to ambulate independently. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Meningioma and schwannoma management
Intracranial Aneurysms: Treatment and Complications
Neurosurgical Procedures and Complications
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN