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North American Skull Base Society

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2026 Poster Presentations

2026 Poster Presentations

 

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P372: CONCOMITANT MICROSURGICAL RESECTION OF AN OLFACTORY GROOVE MENINGIOMA AND CLIP LIGATION OF AN ANTERIOR COMMUNICATING ARTERY ANEURYSM VIA THE ANTERIOR INTERHEMISPHERIC APPROACH
Armando Bunjaj, BS; Alexandra Abrams, BS; Edinson Najera, MD, FCNS; Ralph Rahme, MD, FACS, FCNS; SBH Health System

A 67-year-old woman presented with confusion, cognitive decline, and unsteady gait. Brain imaging showed a large  olfactory groove meningioma and an incidental anterior communicating artery (AComA) aneurysm immediately posterior to it. Concomitant microsurgical tumor resection and aneurysm clip ligation were successfully performed using a bifrontal interhemispheric approach. Postoperative imaging demonstrated gross total tumor resection and complete aneurysm obliteration. The patient’s mental and cognitive functions improved significantly and she regained her ability to ambulate independently.

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