Endovascular therapy using flow diversion for giant internal carotid artery pseudoaneurysm arising in the setting of an invasive pituitary macroadenoma.

Autor: Saad, Amin F., Syed, Almas, Marashi, Keyan B., O'Rourke, Brian D., Hise, Joseph H., Opatowsky, Michael J., Layton, Kennith F.
Zdroj: Baylor University Medical Center Proceedings; 2017, Vol. 30 Issue 1, p47-49, 3p, 3 Black and White Photographs
Abstrakt: This report illustrates the unusual occurrence of a pseudoaneurysm arising in the setting of a skull base mass and describes the first reported use of endovascular flow diversion therapy in such a setting. A 63-year-old man with occasional headaches during the preceding month presented with the acute onset of severe left retroorbital headache and oculomotor nerve palsy. Computed tomography (CT) and CT angiogram revealed a destructive skull base mass with an associated giant probable pseudoaneurysm of the cavernous segment of the left internal carotid artery. The patient underwent endoscopic transsphenoidal biopsy with a subsequent diagnosis of prolactinoma. Endovascular therapy utilizing two Pipeline™ flow diversion embolization devices was performed with subsequent resolution of the patient's headache and improvement in his cranial nerve deficits/cavernous sinus syndrome. [ABSTRACT FROM AUTHOR]
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