[Endocrinologic recovery after treatment of an intrasellar aneurysm].
| Autor: | Slaba S; Département d'imagerie médicale, Hôtel-Dieu de France (HDF), Université Saint-Joseph (USJ), Beyrouth. sslaba@hotmail.com, Medlej R, Smayra T, Zafatayeff S, Nohra G, Okais N, Halaby G |
|---|---|
| Jazyk: | francouzština |
| Zdroj: | Le Journal medical libanais. The Lebanese medical journal [J Med Liban] 2000 Sep-Oct; Vol. 48 (5), pp. 333-7. |
| Abstrakt: | Objective: Cavernous intrasellar aneurysms are rare, but may be clinically mistaken for an hypophyseal tumor, thus the need for a preoperative diagnosis. Clinical Presentation: We report on a 60-year-old woman suffering from retroorbital headache, diplopia and decreased visual acuity, along with hyperprolactinemia and both gonadotropic and thyreotropic deficencies. Computed tomography revealed a sellar mass with superior extension, but MR raised the possibility of a cavernous aneurysm, that was confirmed by arteriography, avoiding a disastrous transsphenoidal surgery. Discussion: Intracavernous aneurysms are known having a benign course, but serious meningeal hemorrhage can occur in 1.4% of cases and carotid-cavernous fistulae in 8% of patients, warranting treatment. Medial development is rare and may be responsible for endocrinologic manifestations. Neurosurgical approach remains hazardous, and endovascular occlusion represents the method of choice. Conclusion: Intracavernous aneurysm must be taken into consideration in the differential diagnosis of pituitary masses because it has a completely different management. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|