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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2021; 10(02): 148-151
DOI: 10.1055/s-0041-1729462
Short Communication

Pseudoaneurysm following Surgical Resection of Craniopharyngioma: What Is the Best Management?

Francisco Marco del Pont
1   Departamento de Neurocirugia, Fleni, Buenos Aires, Argentina
,
Juan Francisco Villalonga
1   Departamento de Neurocirugia, Fleni, Buenos Aires, Argentina
,
Amparo Sáenz
1   Departamento de Neurocirugia, Fleni, Buenos Aires, Argentina
2   Departamento de Neurocirugia, Hospital de Pediatria Juan P. Garrahan, Buenos Aires, Argentina
,
Guido Caffaratti 
1   Departamento de Neurocirugia, Fleni, Buenos Aires, Argentina
,
Santiago Condomi Alcorta
1   Departamento de Neurocirugia, Fleni, Buenos Aires, Argentina
,
Andrés Cervio
1   Departamento de Neurocirugia, Fleni, Buenos Aires, Argentina
› Author Affiliations Funding None.
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Abstract

Craniopharyngiomas are benign tumors of the sellar and parasellar region for which surgical resection remains the treatment of choice. There are many publications on the most frequent postoperative complications, but few reports on subclinical lesions affecting the arteries of the circle of Willis, despite their high morbidity and mortality rate. Trauma-induced aneurysms are infrequent, representing less than 1% of intracranial aneurysms. Iatrogenic intracranial pseudoaneurysms are a subtype of surgically induced aneurysms developed as a result of direct injury to the arterial wall or after dissection of tumors adherent to the vessel adventitia. The natural history of these lesions is not well known because their incidence is extremely low. We report two cases of postoperative aneurysms of the internal carotid artery after craniopharyngioma resection and a brief review on the management of such lesions.

Keywords

carotid artery injuries - craniopharyngioma - pseudoaneurysm - postoperative complication - aneurysm


Publication History

Article published online:
30 April 2021

© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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