Microsurgical management of anterior clinoidal meningioma with internal carotid artery compression following pregnancy-associated tumor growth
Abstract
Meningiomas may enlarge during pregnancy. This video presents a case of an anterior clinoidal meningioma that showed rapid growth during a patient's second trimester of pregnancy, leading to marked stenosis of the internal carotid artery (ICA). In clinoidal meningiomas, early identification of the proximal ICA and middle cerebral artery is essential for safe orientation and efficient resection. However, a narrowed ICA increases the risk of dissection and, in young patients with large tumors, securing distal control can be challenging. This video highlights technical nuances for safe dissection in such cases. The video can be found here: https://stream.cadmore.media/r10.3171/2025.10.FOCVID25130.
Fields of Study & Subjects
Meningioma and schwannoma management
Cerebral Venous Sinus Thrombosis
Pituitary Gland Disorders and Treatments
Publication details
- Journal / source
- Neurosurgical Focus Video
- Volume
- 14
- Issue
- 1
- Pages
- V7–V7
- Publication date
- 1 January 2026
- Language
- EN