Acta Neurochirurgica

, Volume 27, Issue 3–4, pp 189–204 | Cite as

Association of brain tumours and arterial intracranial aneurysms

  • H. W. Pia
  • S. Obrador
  • J. G. Martin


A review of 116 cases of coexistent brain tumours and intracranial arterial aneurysms is made. The cases were collected from the literature, personal experience (8 cases) and different neurosurgical centres all over the world.

According to the literature the general incidence of intracranial arterial aneurysms does not seem to be higher in brain tumours than in the general population. Our own material is not suitable to contribute to this question.

Several factors may explain the presence of some intracranial arterial aneurysm accompanying different groups of brain tumours. Localization as well as local circulatory changes may be responsible for the higher incidence of intracranial arterial aneurysms, especially those located in the internal carotid artery group found associated with tumours at the base of the skull (basal meningiomas and pituitary adenomas). A high incidence of aneurysms of the middle cerebral artery group accompanying ipselateral tumours may be due to an increased regional blood flow, because of the vascularity of certain tumours.

A dysgenetic factor might explain the high incidence of multiple aneurysms in meningiomas and other various tumours of congenital origin.

Clinically the presenting symptomatology was mainly one of a space occupying lesion. From a therapeutic point of view a combined surgical approach to tumour and aneurysm is accompanied by better results in basal meningiomas and pituitary adenomas.


Adenoma Carotid Artery Brain Tumour Meningioma Cerebral Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1972

Authors and Affiliations

  • H. W. Pia
    • 1
    • 2
  • S. Obrador
    • 1
    • 2
  • J. G. Martin
    • 1
    • 2
  1. 1.Department of Neurosurgery of Giessen UniversitySpain
  2. 2.Faculty of Medicine, of MadridAutonomous UniversitySpain

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