Intrasellar persistent trigeminal artery associated with a pituitary adenoma

1989 ◽  
Vol 70 (2) ◽  
pp. 271-273 ◽  
Author(s):  
K. Stuart Lee ◽  
David L. Kelly
Keyword(s):  
Pituitary Adenoma ◽  
Sella Turcica ◽  
Preoperative Imaging ◽  
Persistent Trigeminal Artery ◽  
Pituitary Macroadenoma ◽  
Trigeminal Artery ◽  
Imaging Studies ◽  
Content Type ◽  
Fine Print ◽  
Transsphenoidal Resection

✓ The case of a patient with Cushing's disease and a pituitary macroadenoma, who also had a persistent trigeminal artery coursing through the sella turcica on preoperative imaging studies, is presented. The patient was treated by transsphenoidal resection of the tumor.

Coexistent trigeminal neuralgia, hemifacial spasm, and hypertension: preoperative imaging of neurovascular compression

1994 ◽  
Vol 80 (3) ◽  
pp. 559-563 ◽  
Author(s):  
Eric S. Ballantyne ◽  
Rosalind D. Page ◽  
James F. M. Meaney ◽  
Thomas E. Nixon ◽  
John B. Miles
Keyword(s):  
Trigeminal Neuralgia ◽  
Hemifacial Spasm ◽  
Preoperative Imaging ◽  
Complete Relief ◽  
Neurovascular Compression ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Vagus Nerves ◽  
Content Type ◽  
Fine Print

✓ The case is reported of a 60-year-old woman with left-sided trigeminal neuralgia, hemifacial spasm, and hypertension. Compression of the left trigeminal, facial, and vagus nerves by the anterior and posterior inferior cerebellar arteries and a persistent trigeminal artery variant were demonstrated by magnetic resonance angiography using a novel sequence. At operation the angiographic appearances were confirmed, and decompression was performed with the placement of polyvinyl sponge at all three levels. Postoperatively, the patient had complete relief from the trigeminal neuralgia and hemifacial spasm and has sustained normotension without medication.

Trigeminal artery to cavernous sinus fistula treated by balloon occlusion

1983 ◽  
Vol 58 (4) ◽  
pp. 611-613 ◽  
Author(s):  
Charles W. Kerber ◽  
William Manke
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Femoral Artery ◽  
Balloon Occlusion ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Flow Through ◽  
Sinus Flow ◽  
Fine Print

✓ A spontaneous cavernous sinus fistula developed following presumed sinusitis, and was found to originate not from the carotid artery but from a persistent trigeminal artery. The fistula was treated by introducing a detachable latex balloon via a femoral artery approach through the trigeminal artery and then into the cavernous sinus. Flow through the carotid, vertebral, and trigeminal arteries was preserved.

Cushing's disease with pituitary apoplexy leading to hypopituitarism, empty sella, and spontaneous fracture of the dorsum sellae

1979 ◽  
Vol 51 (6) ◽  
pp. 866-869 ◽  
Author(s):  
Philip H. Gutin ◽  
William G. Cushard ◽  
Charles B. Wilson
Keyword(s):  
Pituitary Adenoma ◽  
Cushing’S Disease ◽  
Plasma Cortisol ◽  
Pituitary Apoplexy ◽  
Empty Sella ◽  
Cushing's Disease ◽  
Content Type ◽  
Urinary Levels ◽  
Fine Print ◽  
Transsphenoidal Resection

✓ A patient with a pituitary adenoma secreting adrenocorticotropin hormone manifested panhypopituitarism after an episode of pituitary apoplexy. The previously elevated urinary levels of 17-ketogenic steroids dropped sharply, and plasma cortisol became undetectable. The apoplexy also resulted in a partially empty sella on which the dorsum sellae collapsed. Recurrent Cushing's disease developed and was cured by transsphenoidal resection of a microadenoma.

Persistent trigeminal artery: its relationship to the normal branches of the cavernous carotid

1974 ◽  
Vol 40 (2) ◽  
pp. 244-248 ◽  
Author(s):  
Dwight Parkinson ◽  
Christopher B. Shields
Keyword(s):  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Autopsy Specimen ◽  
Meningohypophyseal Trunk ◽  
Fine Print

✓ The authors report a detailed study of an autopsy specimen indicating that the meningohypophyseal trunk and a persistent trigeminal artery apparently exist independently and have separate origins.

Trigeminal artery and microemboli to the brain stem

1977 ◽  
Vol 46 (1) ◽  
pp. 104-106 ◽  
Author(s):  
Frederick T. Waller ◽  
Robert L. Simons ◽  
Charles Kerber ◽  
Ilmar O. Kiesel ◽  
Calvin T. Tanabe
Keyword(s):  
Brain Stem ◽  
Atherosclerotic Plaque ◽  
Carotid Bifurcation ◽  
Persistent Trigeminal Artery ◽  
Transient Ischemic Attacks ◽  
Trigeminal Artery ◽  
Content Type ◽  
The Brain ◽  
Fine Print

✓ The authors report two cases of transient ischemic attacks (TIA's) involving the brain stem. The TIA's were due to microemboli that originated from a carotid bifurcation atherosclerotic plaque and travelled through a persistent trigeminal artery.

Bilateral cortical blindness associated with carotid stenosis in a patient with a persistent trigeminal artery

1980 ◽  
Vol 52 (5) ◽  
pp. 709-711 ◽  
Author(s):  
David J. Heeney ◽  
Andrew H. Koo
Keyword(s):  
Visual Cortex ◽  
Carotid Plaque ◽  
Internal Carotid ◽  
Cortical Blindness ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Anomalous Artery ◽  
Angiographic Findings ◽  
Fine Print

✓ A patient with findings of bilateral cortical blindness and a unilateral carotid bruit is reported. A persistent trigeminal artery allowed emboli from a unilateral ulcerated internal carotid plaque to affect the visual cortex bilaterally. The angiographic findings and a brief discussion of this anomalous artery are presented.

Direct surgical obliteration of a persistent trigeminal artery aneurysm

1974 ◽  
Vol 40 (2) ◽  
pp. 249-251 ◽  
Author(s):  
Glenn Morrison ◽  
William M. Hegarty ◽  
Charles C. Brausch ◽  
Theodore J. Castele ◽  
Rorert J. White
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Operative Treatment ◽  
Artery Aneurysm ◽  
Persistent Trigeminal Artery ◽  
Fusiform Aneurysm ◽  
Trigeminal Artery ◽  
Content Type ◽  
Fine Print

✓ A woman with a fusiform aneurysm of a persistent trigeminal artery sustained a subarachnoid hemorrhage and presented with hypalgesia in the distribution of the maxillary and mandibular nerves. The first successful direct operative treatment of this rare aneurysm is reported.

Intrasellar aneurysm and a growth hormone—secreting pituitary macroadenoma

2004 ◽  
Vol 100 (3) ◽  
pp. 557-559 ◽  
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.

Intracranial aneurysm on a persistent primitive trigeminal artery

1971 ◽  
Vol 35 (5) ◽  
pp. 601-604 ◽  
Author(s):  
Ajax E. George ◽  
Joseph P. Lin ◽  
Robert A. Morantz
Keyword(s):  
Intracranial Aneurysm ◽  
Rare Case ◽  
Artery Aneurysm ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Persistent Primitive Trigeminal Artery ◽  
Primitive Trigeminal Artery ◽  
Angiographic Demonstration ◽  
Fine Print

✓ The angiographic demonstration of a rare case of persistent trigeminal artery aneurysm is reported. The incidence of persistent trigeminal artery in the authors' series is 0.6%. Approximately 14% of patients with a persistent trigeminal artery also have an intracranial aneurysm. The embryology involved and related cases are reviewed.

Intracranial ectopic pituitary adenoma

1976 ◽  
Vol 44 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Lewis M. Rothman ◽  
Joanna Sher ◽  
Robert M. Quencer ◽  
Michael S. Tenner
Keyword(s):  
Pituitary Adenoma ◽  
Aggressive Behavior ◽  
Sella Turcica ◽  
Pars Tuberalis ◽  
Unique Case ◽  
Content Type ◽  
Ectopic Pituitary Adenoma ◽  
Generalized Seizures ◽  
Fine Print

✓ The authors report a unique case of ectopic intracranial pituitary adenoma, associated clinically with generalized seizures and aggressive behavior. The lesion presumably arose from cells in the pars tuberalis and did not involve the sella turcica.

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