Co-Localization Of Anterior Clinoidal Meningioma With Craniopharyngioma: A Rare Case Report

Co-localization of anterior clinoidal meningioma with craniopharyngioma is an extremely rare condition and only two cases were reported in the literature till date with the subject. Complete surgical resection plays a critical role for better prognosis in these patients. Accurate preoperative evaluation and an appropriate surgical approach are essential for treatment of these patients. However, the preoperative diagnosis of this disease still remains a challenge due to its rarity. To better identify and manage the co-localization, we herein reported a 61-year-old female with co-localization of clinoidal meningioma and craniopharyngioma in the sellar region and discussed the radiological features and the necessary surgical approaches that assist in treating it. Although very confusing, the co-localization can be identified by MRI. For complete resection of tumors, the pterional approach and fronto-orbito-zygomatic approach are recommended. Compared to the transcranial approaches, the endonasal endoscopic approach is considered more appropriate when the anterior clinoidal meningioma is small, present in the midline and below the optic nerve.