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  • The treatment of an incidental

    2018-10-29

    The treatment of an incidental aneurysm accompanying a TAPI-1 tumor slightly differs from that of an incidental aneurysm. Owing to the presence of an aneurysm, complete removal of the tumor poses a high intraoperative risk, and the long-term risk of aneurysm rupture was estimated to be 10–38%. Thus, curative management for both lesions is an ideal option. Simultaneous surgical management of an intratumoral aneurysm by clipping the aneurysm and tumor excision has been performed successfully. Special considerations should be made. In addition to the hemodynamic change during craniotomy for a brain tumor, the location of the aneurysm close to or residing within the tumor poses an additional risk of aneurysm rupture during tumor resection, as shown in our case. Thus, the aneurysm should be proximally controlled prior to total tumor excision. With advances in endovascular techniques, pre- or intraoperative embolization is a useful option for managing intracranial aneurysm. Successfully staged endovascular coiling followed by complete tumor excision has been reported. Treatment strategies for an intracranial tumor with a coexisting aneurysm include direct surgical intervention for both lesions simultaneously or sequentially as preoperative endovascular embolization of the aneurysm followed by surgical removal of the tumor. Table 1 summarized the treatment modalities and outcome in patients with coexistent anterior communicating artery aneurysm and tuberculum sellae meningioma. Definitive treatment should be individualized on the basis of the condition of the patient, experience of the surgeon and neurointerventionist, and facility TAPI-1 of the hospital.
    The corresponding author listed in the original version of Cytoplasmic protein synthesis article was Kuo-Feng Huang. This is incorrect. The authors apologize for the error and the correct corresponding author is hereby listed as: Hsing-Hong Chen ().