A Giant Intracavernous Carotid Artery Aneurysm Embedded in Pituitary Macroadenoma Presenting with Pituitary Apoplexy

We present the case of a 47 years old woman submitted to an endovascular trapping of a left cavernous internal carotid artery aneurysm, in which the distal balloon was inflated, as usually done, within the cavernous segment of the internal carotid artery, different from the proximal one which was inflated inside the carotid canal due to technical problems. Consequently, a clinical picture of Raeder's paratrigeminal neuralgia took place. This is the first case report in the literature with theses characteristics. A review of the anatomic pathways and further considerations about the possible pathophysiological mechanisms involved are presented.

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Giant infectious intracavernous carotid artery aneurysm presenting as intractable epistaxis

Surgical Neurology ◽

10.1016/0090-3019(94)90010-8 ◽

1994 ◽

Vol 41 (6) ◽

pp. 472-476 ◽

Cited By ~ 6

Author(s):

Sylvie Destian ◽

Howard Tung ◽

Richard Gray ◽

David R. Hinton ◽

John Day ◽

...

Keyword(s):

Carotid Artery ◽

Artery Aneurysm ◽

Carotid Artery Aneurysm ◽

Intracavernous Carotid Artery ◽

Intractable Epistaxis

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Pituitary Apoplexy Caused by Ruptured Internal Carotid Artery Aneurysm

Stroke ◽

10.1161/01.str.32.2.567 ◽

2001 ◽

Vol 32 (2) ◽

pp. 567-569 ◽

Cited By ~ 28

Author(s):

Hidenori Suzuki ◽

Masatoshi Muramatsu ◽

Kenichi Murao ◽

Kenji Kawaguchi ◽

Takeo Shimizu

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Pituitary Apoplexy ◽

Artery Aneurysm ◽

Carotid Artery Aneurysm ◽

Internal Carotid Artery Aneurysm

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Intracerebral Hemorrhage Caused by Ruptured Intracavernous Carotid Artery Aneurysm

Neurologia medico-chirurgica ◽

10.2176/nmc.49.155 ◽

2009 ◽

Vol 49 (4) ◽

pp. 155-158 ◽

Cited By ~ 3

Author(s):

Kousuke IWAISAKO ◽

Shingo TOYOTA ◽

Masahiro ISHIHARA ◽

Katsuhiko SHIBANO ◽

Yu HARADA ◽

...

Keyword(s):

Carotid Artery ◽

Intracerebral Hemorrhage ◽

Artery Aneurysm ◽

Carotid Artery Aneurysm ◽

Intracavernous Carotid Artery

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Intrasellar aneurysm and a growth hormone—secreting pituitary macroadenoma

Journal of Neurosurgery ◽

10.3171/jns.2004.100.3.0557 ◽

2004 ◽

Vol 100 (3) ◽

pp. 557-559 ◽

Cited By ~ 20

Author(s):

Burak Sade ◽

Gérard Mohr ◽

Donatella Tampieri ◽

Arthur Rizzo

Keyword(s):

Pituitary Adenoma ◽

Carotid Artery ◽

Sella Turcica ◽

Artery Aneurysm ◽

Pituitary Macroadenoma ◽

Effective Treatment Option ◽

Content Type ◽

Carotid Artery Aneurysm ◽

Life Threatening ◽

Detachable Coils

✓ An aneurysm completely included within a pituitary adenoma that lies inside the sella turcica is rare and challenging from both a diagnostic and treatment viewpoint. A 39-year-old woman presented with symptoms and signs of acromegaly. Magnetic resonance imaging revealed a pituitary macroadenoma, which was associated with an intrasellar aneurysm. Digital subtraction angiography confirmed the presence of the cavernous carotid artery aneurysm. Complete endovascular obliteration of the aneurysm was achieved using Guglielmi Detachable Coils and the patency of the internal carotid artery was maintained. The pituitary adenoma was resected subtotally via a transsphenoidal microsurgical approach 8 months later. Preoperative detection of a coexisting intrasellar aneurysm in a patient with a pituitary adenoma is mandatory to avoid life-threatening hemorrhagic complications. Endovascular coil placement is an effective treatment option when performed before the transsphenoidal removal of the adenoma.

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