[Endocrinologic recovery after treatment of an intrasellar aneurysm]. / Récupération endocrinienne après cure d'un anévrisme intrasellaire.
J Med Liban
; 48(5): 333-7, 2000.
Article
in Fr
| MEDLINE
| ID: mdl-12494913
ABSTRACT
OBJECTIVE:
Cavernous intrasellar aneurysms are rare, but may be clinically mistaken for an hypophyseal tumor, thus the need for a preoperative diagnosis. CLINICAL PRESENTATION We report on a 60-year-old woman suffering from retroorbital headache, diplopia and decreased visual acuity, along with hyperprolactinemia and both gonadotropic and thyreotropic deficencies. Computed tomography revealed a sellar mass with superior extension, but MR raised the possibility of a cavernous aneurysm, that was confirmed by arteriography, avoiding a disastrous transsphenoidal surgery.DISCUSSION:
Intracavernous aneurysms are known having a benign course, but serious meningeal hemorrhage can occur in 1.4% of cases and carotid-cavernous fistulae in 8% of patients, warranting treatment. Medial development is rare and may be responsible for endocrinologic manifestations. Neurosurgical approach remains hazardous, and endovascular occlusion represents the method of choice.CONCLUSION:
Intracavernous aneurysm must be taken into consideration in the differential diagnosis of pituitary masses because it has a completely different management.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cavernous Sinus
/
Intracranial Aneurysm
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
Fr
Journal:
J Med Liban
Year:
2000
Document type:
Article