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Endoscopic approach to cavernous sinus aneurysm. | LitMetric

Endoscopic approach to cavernous sinus aneurysm.

Turk Neurosurg

Kocaeli University, Pituitary Research Centre, Department of Neurosurgery, Kocaeli, Turkey.

Published: February 2014

Aneurysms protruding into sellae may mimic pituitary tumors by compressing adjacent cranial nerves. Carotid-Cavernous aneurysms are rarely associated with mortality, and surgical intervention is recommended especially for neuro-ophthalmologic progression. In this report we presented a 51-year-old woman who had severe headache and neuro-ophthalmologic signs with the initial diagnosis of pituitary apoplexy on MRI (Magnetic Resonanse Imaging). However preoperative CTA (Computed Tomography Angiography) revealed a carotid cavernous aneurysm protruding into sellae. The patient underwent endovascular intervention and endoscopic transphenoidal approach for the removal of the hematoma compressing the cranial nerves. The patient's neuro-ophthalmologic symptoms were improved during the follow-up, which may be related due to rapid evacuation of the hematoma.

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Source
http://dx.doi.org/10.5137/1019-5149.JTN.5503-11.1DOI Listing

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