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[A Case of Unruptured Internal Carotid Artery Aneurysm with Improved Endocrinological Function after Treatment].
Homma, Hiroshi; Ito, Miiko; Shimokawa, Yu; Kawanami, Kanako; Yamaki, Tetsu; Kokubo, Yasuaki; Sonoda, Yukihiko.
Afiliación
  • Homma H; Department of Neurosurgery, Faculty of Medicine, Yamagata University.
No Shinkei Geka ; 48(8): 733-738, 2020 Aug.
Article en Ja | MEDLINE | ID: mdl-32830139
We experienced a case of unruptured internal carotid artery aneurysm improved endocrinological function after the treatment. A 68-year-old woman was admitted to our hospital complaining of general fatigue, dizziness, and decreased visual acuity. Radiological examination revealed unruptured large aneurysm at the right anterior carotid artery compressing on the pituitary gland. We underwent right STA-MCA bypass and trapping of right internal carotid artery. Post-operative course was uneventful. Although visual function was not improved, her endocrinological function was improved 8 months after surgery by thrombosed and shrunken aneurysm. The mechanism of panhypopituitarism due to aneurysm has been suggested to involve mechanical compression on the pituitary gland, pituitary stalk, or hypophyseal artery. Although it was unclear about the improvement of endocrine function after the treatment of aneurysm, some cases could recover the hypopituitarism after enough follow-up period.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Enfermedades de las Arterias Carótidas / Aneurisma Intracraneal / Revascularización Cerebral / Hipopituitarismo Límite: Aged / Female / Humans Idioma: Ja Revista: No Shinkei Geka Año: 2020 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Enfermedades de las Arterias Carótidas / Aneurisma Intracraneal / Revascularización Cerebral / Hipopituitarismo Límite: Aged / Female / Humans Idioma: Ja Revista: No Shinkei Geka Año: 2020 Tipo del documento: Article