Summary
A 53-year-old female with a functioning pituitary adenoma was found to also have an
unruptured asymptomatic aneurysm in the cavernous sinus portion of the internal carotid
artery on MRI. The adenoma had a suprasellar extension with optic chiasm compression
and extended into the right cavernous sinus. An aneurysm-like flow-void adjacent to
the left internal carotid artery in the sella and embedded in the adenoma was also
found. The aneurysm was confirmed by conventional angiography. We used a right fronto-pterional
approach to clip the aneurysm and to remove the pituitary tumor in a one-stage procedure.
The outcome was good on long-term follow-up. It is important to thoroughly evaluate
the anatomic relations around the sella turcica prior to procedures with limited exposure,
including transsphenoidal surgery, to avoid unrecognized complications and morbidity.
Keywords
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Article info
Publication history
Accepted:
May 4,
2004
Received:
February 2,
2004
Identification
Copyright
© 2005 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
