Endovascular therapy using flow diversion for giant internal carotid artery pseudoaneurysm arising in the setting of an invasive pituitary macroadenoma
| Autor: | Keyan B Marashi, Michael J. Opatowsky, Amin F. Saad, Brian O'Rourke, Almas Syed, Joseph H. Hise, Kennith F. Layton |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment General Medicine medicine.disease Pseudoaneurysm Skull medicine.anatomical_structure Case Studies medicine.artery Biopsy cardiovascular system Medicine Radiology Embolization cardiovascular diseases Oculomotor nerve palsy Headaches medicine.symptom Internal carotid artery business Prolactinoma |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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