Pituitary apoplexy caused by ruptured internal carotid artery aneurysm

被引：31
|
作者：
Suzuki, H
Muramatsu, M
Murao, K
Kawaguchi, K
Shimizu, T
机构：
[1] Mie Prefectural Gen Med Ctr, Dept Neurosurg, Yokkaichi, Mie 5100885, Japan
[2] Mie Univ, Sch Med, Tsu, Mie, Japan
来源：
STROKE | 2001年 / 32卷 / 02期
关键词：
adenoma; cerebral aneurysm; hematoma; pituitary apoplexy; pituitary neoplasms;
D O I：
10.1161/01.STR.32.2.567
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background and Purpose-We report the first case of pituitary apoplexy caused by the rupture of an intracavernous carotid artery aneurysm embedded in a pituitary adenoma. Case Description-A 46-year-old man presented with clinical and CT findings typical of pituitary apoplexy. MRI showed an unusual flow-void protrusion into the intratumoral hematoma, which, however, was not diagnosed as a ruptured aneurysm until severe intraoperative bleeding occurred. Angiography after surgery revealed an intracavernous carotid artery aneurysm. Conclusions-The possible association of adenoma and aneurysmal rupture should be kept in mind when assessing any case of pituitary apoplexy.
引用
收藏
页码：567 / 569
页数：3
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