Pituitary insufficiency from large unruptured supraclinoid internal carotid artery aneurysm

Abstract A 59-year-old female presented with headache and fatigue. Angiography revealed a giant superior hypophyseal aneurysm with intrasellar extension. Serum endocrine panel demonstrated pituitary insufficiency. The aneurysm was treated with a pipeline flow-diverting stent and the hypopituitarism...

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Bibliographic Details
Published in:British journal of neurosurgery 2014-04, Vol.28 (2), p.290-292
Main Authors: Ding, Dale, Mehta, Gautam U., Liu, Kenneth C.
Format: Article
Language:English
Subjects:
Aneurysms
Carotid Artery Diseases - complications
Carotid Artery Diseases - therapy
Carotid Artery, Internal
Cerebral Angiography
Embolization, Therapeutic
Fatigue
Fatigue - etiology
Female
Headaches
Hormone Replacement Therapy
Humans
Hydrocortisone - therapeutic use
Hypopituitarism - etiology
Hypopituitarism - therapy
Intracranial Aneurysm - complications
Intracranial Aneurysm - therapy
Magnetic Resonance Imaging
Medical imaging
Middle Aged
Neurology
Pituitary Function Tests
Pituitary Hormones - blood
Stents
Tomography, X-Ray Computed
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Summary:Abstract A 59-year-old female presented with headache and fatigue. Angiography revealed a giant superior hypophyseal aneurysm with intrasellar extension. Serum endocrine panel demonstrated pituitary insufficiency. The aneurysm was treated with a pipeline flow-diverting stent and the hypopituitarism was treated with hormone replacement. Pituitary insufficiency from aneurysmal compression is extremely rare.
ISSN:0268-8697
1360-046X
DOI:10.3109/02688697.2013.829559