scholarly journals Hypopituitarism and amenorrhea- galactorrhea syndrome caused by thrombosis of both internal carotid artery and giant intrasellar aneurysm: case report

2004 ◽  
Vol 62 (1) ◽  
pp. 158-161 ◽  
Author(s):  
Jackson Gondim ◽  
Michele Schops ◽  
Erica Ferreira

Giant intra and parasellar aneurysm with a spontaneous thrombosis of internal carotid artery is rare. We report the case of a 34 years old woman presenting a unique giant sellar and parasellar aneurysm associated with hypopituitarism and amenorrhea-galactorrhea syndrome. Computed tomographic scans and magnetic resonance images were suggestive of a sellar tumor with a cystic component. Digital cerebral angiography showed spontaneous thrombosis of a intrasellar and parasellar carotid artery aneurysm and left internal carotid artery in the neck. A transseptal endoscopic biopsy was done and confirmed a thrombosed aneurysm. No other surgical treatment was required in this patient but permanent endocrinological treatment was necessary.

2005 ◽  
Vol 120 (2) ◽  
pp. 1-3 ◽  
Author(s):  
Bruno Sergi ◽  
Vittorio Alberti ◽  
Gaetano Paludetti ◽  
Francesco Snider

Aneurysms of the extracranial portion of the internal carotid artery are rare. Generally, they occur just at the level of, or above, the bifurcation. Here we report a case of a left internal carotid artery aneurysm presenting as an oropharyngeal mass causing dysphagia.


Neurosurgery ◽  
1987 ◽  
Vol 20 (1) ◽  
pp. 49-51 ◽  
Author(s):  
Kengo Kashihara ◽  
Haruhide Ito ◽  
Shinjiro Yamamoto ◽  
Kiyotoshi Yamano

Abstract Raeder's syndrome consists of oculosympathetic paresis and ipsilateral facial pain, with variable involvement of the trigeminal and oculomotor nerves. A 63-year-old woman experienced severe facial pain, a partial Horner's syndrome, and restriction of ocular movements on the left side. A left carotid angiogram disclosed a giant aneurysm of the cavernous portion of the internal carotid artery. This is the third reported case of Raeder's syndrome due to aneurysm of the intracranial internal carotid artery. Her facial pain was relieved by carotid ligation, and serial computed tomographic scans showed decrease of aneurysmal size.


Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 169
Author(s):  
Alexandra Dădârlat-Pop ◽  
Adrian Molnar ◽  
Alexandru Oprea ◽  
Raluca Tomoaia ◽  
Bianca Boros ◽  
...  

A 73-year-old woman was referred to our Cardiology Department due to recurrent headaches and dizziness. She had a history of hypertension of 10 years. In the territorial hospital, left internal carotid artery significant stenosis was suspected. Neurological examination and laboratory tests were normal. A neck vascular ultrasound was performed, showing a low bifurcation of the left common carotid artery (CCA) and a hypoplastic left internal carotid artery (ICA) with a sinuous path at the cervical level. Therefore, a computed tomographic (CT) angiography examination of the head and neck vessels was performed. The images confirmed the presence of a hypoplastic left ICA, anatomic variation in the left CCA, and also showed that the left vertebral artery (VA) was stemming directly from the aortic arch, exhibiting a kinking trajectory.


2014 ◽  
Vol 43 (2) ◽  
pp. 103-105
Author(s):  
Md Jahangir Alam ◽  
Sukriti Das ◽  
AM Rejaus Satter ◽  
Md Hafizur Rahman ◽  
Ehsan Mahmud

Tuberous sclerosis is an autosomal dominant hereditary condition with many varied forms of clinical presentation. The most frequent cutaneous findings in tuberous sclerosis include multiple angiofibromas, hypopigmented macules, periungual fibromas and shagreen patch. It is characterized by the development of hamartomatous growths in many organs. We present a case of tuberous sclerosis with a giant left internal carotid artery aneurysm causing pulsatile proptosis, left sided ptosis, anisocoria and papillary mydriasis indicative of left third cranial nerve palsy. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21393 Bangladesh Med J. 2014 May; 43 (2): 103-105


Neurosurgery ◽  
2002 ◽  
Vol 51 (4) ◽  
pp. 1089-1093 ◽  
Author(s):  
Kiyoshi Ito ◽  
Kazuhiro Hongo ◽  
Yukinari Kakizawa ◽  
Shigeaki Kobayashi

Abstract OBJECTIVE AND IMPORTANCE Precise preoperative evaluation is especially important when internal carotid artery aneurysms in the paraclinoid region are clipped, because these vascular structures are located in close proximity to various important structures such as the optic nerve and anterior clinoid process. We report a new method for “simultaneously” describing the interrelationships among the aneurysm, internal carotid artery, optic nerve, and bony structures with three-dimensional contrast medium-enhanced computed tomographic (3-D CMECT) cisternography. METHODS Informed consent was obtained from the patient. An 8-ml injection of iotrolan (Isovist; Schering, Berlin, Germany) (240 mg I/ml) was administered into the lumbar intrathecal space. A computed tomographic scan of the head was obtained 2 hours later with a multislice Asteion computed tomographic scanner (Toshiba, Inc., Tokyo, Japan). An Alatoview workstation (Silicon Graphics, Mountain View, CA) was used to reconstruct the three-dimensional images. RESULTS These images, as generated by 3-D CMECT cisternography, were found to accurately demonstrate the interrelationships of the internal carotid artery, aneurysm, and surrounding structures preoperatively. The findings obtained from these images proved to be quite similar to the intraoperative findings. 3-D CMECT cisternography clarified whether the paraclinoid aneurysm was intradural or extradural. CONCLUSION 3-D CMECT cisternography was found to provide a useful means for preoperative evaluation of lesions in the paraclinoid area.


Neurosurgery ◽  
1988 ◽  
Vol 22 (3) ◽  
pp. 544-549 ◽  
Author(s):  
Eiji Sobata ◽  
Hiroki Ohkuma ◽  
Shigeharu Suzuki

Abstract A 28-year-old woman with von Recklinghausen's neurofibromatosis (NF-1) had a huge hematoma in the left posterior nuchal region. Carotid and vertebral angiograms revealed marked stenosis at the C3 portion of the left internal carotid artery, slight moyamoya staining, occlusion of the left vertebral artery at the atlas level, and a right internal carotid artery aneurysm. The radiographic, clinical, and histological features of this case are discussed together with a review of 42 similar cases found in the literature. (Neurosurgery 22:544-549, 1988)


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