Abstract
We report the cases of two children who underwent CT, MR, MRA and angiography in the diagnosis of postoperative aneurysmal dilatation of the supraclinoid carotid arteries following surgical resection of craniopharyngioma. Craniopharyngiomas are relatively common lesions, accounting for 6–7% of brain tumors in children. They are histologically benign, causing symptoms by their growth within the sella and suprasellar cistern with compression of adjacent structures, especially the pituitary gland, hypothalamus and optic nerves, chiasm, and tracts. Complete surgical resection, particularly of large tumors, is complicated by the fact that the lesions are usually found within the circle of Willis, with displacement and adherence to the adventitia of these vessels [1, 2]. Recent reports in the neurosurgical literature have described aneurysmal dilatation of the supraclinoid internal carotid arteries following aggressive surgical resection of craniopharyngioma [3, 4].
Similar content being viewed by others
References
Litofsky NS, Levy ML, Apuzzo MLJ (1993) Craniopharyngioma. In: Apuzzo MLJ (ed) Brain surgery. Churchill Livingstone, New York, pp 313–318
Pang D (1993) Surgical management of craniopharyngioma. In: Sekhar LN, Janecka IP (eds) Surgery of cranial base tumors. Raven, New York, pp 787–807
Sutton LN, Gusnard D, Bruce DA Fried A, Packer R, Zimmerman RA (1991) Fusiform dilatations of the carotid artery following radical surgery of childhood craniopharyngiomas. J Neurosurg 74:695–700
Liu SS, Zabramski JM, Spetzler RF (1991) Fusiform aneurysm after surgery for craniopharyngioma. J Neurosurg 75:670–671
Allison JW, Glasier CM, Stark JE, James CA, Angtuaco EJC (1994) Head and neck magnetic resonance imaging in pediatrics: a pictorial essay. Radiographics 14:795–805
Azzarelli B, Moore J, Gilmore R, Muller J, Edwards M, Mealey J (1984) Multiple fusiform intracranial aneurysms following curative radiation therapy for suprasellar germinoma. J Neurosurg 61:1141–1145
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lakhanpal, S.K., Glasier, C.M., James, C.A. et al. MR and CT diagnosis of carotid pseudoaneurysm in children following surgical resection of craniopharyngioma. Pediatr Radiol 25, 249–251 (1995). https://doi.org/10.1007/BF02011088
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02011088