Cargando…

Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review

A 61-year-old man presented with massive epistaxis, amaurosis, nausea, and severe headache. A detailed examination revealed a subarachnoid hemorrhage and prolactinoma. Angiography showed a small internal carotid artery pseudoaneurysm and inadequate collateral circulation; thus, uncomplicated coil em...

Descripción completa

Detalles Bibliográficos
Autores principales: NISHIHORI, Masahiro, IZUMI, Takashi, TAKEUCHI, Kazuhito, GOTO, Shunsaku, KANAMORI, Fumiaki, UDA, Kenji, YOKOYAMA, Kinya, ARAKI, Yoshio, SAITO, Ryuta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310351/
https://www.ncbi.nlm.nih.gov/pubmed/37398917
http://dx.doi.org/10.2176/jns-nmc.2022-0355
_version_ 1785066520885329920
author NISHIHORI, Masahiro
IZUMI, Takashi
TAKEUCHI, Kazuhito
GOTO, Shunsaku
KANAMORI, Fumiaki
UDA, Kenji
YOKOYAMA, Kinya
ARAKI, Yoshio
SAITO, Ryuta
author_facet NISHIHORI, Masahiro
IZUMI, Takashi
TAKEUCHI, Kazuhito
GOTO, Shunsaku
KANAMORI, Fumiaki
UDA, Kenji
YOKOYAMA, Kinya
ARAKI, Yoshio
SAITO, Ryuta
author_sort NISHIHORI, Masahiro
collection PubMed
description A 61-year-old man presented with massive epistaxis, amaurosis, nausea, and severe headache. A detailed examination revealed a subarachnoid hemorrhage and prolactinoma. Angiography showed a small internal carotid artery pseudoaneurysm and inadequate collateral circulation; thus, uncomplicated coil embolization was performed. Considering the side effects of medication, such as cerebrospinal fluid rhinorrhea, the patient was followed up for asymptomatic prolactinoma without medication after discharge. At 40 months later, aneurysm recurrence was confirmed. Flow diverter device placement was performed, and the outcomes were excellent. In the present report, we described a rare case of a ruptured internal carotid artery aneurysm in an untreated prolactinoma and discussed the literature.
format Online
Article
Text
id pubmed-10310351
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher The Japan Neurosurgical Society
record_format MEDLINE/PubMed
spelling pubmed-103103512023-06-30 Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review NISHIHORI, Masahiro IZUMI, Takashi TAKEUCHI, Kazuhito GOTO, Shunsaku KANAMORI, Fumiaki UDA, Kenji YOKOYAMA, Kinya ARAKI, Yoshio SAITO, Ryuta NMC Case Rep J Case Report A 61-year-old man presented with massive epistaxis, amaurosis, nausea, and severe headache. A detailed examination revealed a subarachnoid hemorrhage and prolactinoma. Angiography showed a small internal carotid artery pseudoaneurysm and inadequate collateral circulation; thus, uncomplicated coil embolization was performed. Considering the side effects of medication, such as cerebrospinal fluid rhinorrhea, the patient was followed up for asymptomatic prolactinoma without medication after discharge. At 40 months later, aneurysm recurrence was confirmed. Flow diverter device placement was performed, and the outcomes were excellent. In the present report, we described a rare case of a ruptured internal carotid artery aneurysm in an untreated prolactinoma and discussed the literature. The Japan Neurosurgical Society 2023-06-06 /pmc/articles/PMC10310351/ /pubmed/37398917 http://dx.doi.org/10.2176/jns-nmc.2022-0355 Text en © 2023 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
spellingShingle Case Report
NISHIHORI, Masahiro
IZUMI, Takashi
TAKEUCHI, Kazuhito
GOTO, Shunsaku
KANAMORI, Fumiaki
UDA, Kenji
YOKOYAMA, Kinya
ARAKI, Yoshio
SAITO, Ryuta
Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review
title Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review
title_full Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review
title_fullStr Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review
title_full_unstemmed Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review
title_short Simultaneous Aneurysmal Subarachnoid Hemorrhage and Epistaxis in an Untreated Prolactinoma: A Case Report and Literature Review
title_sort simultaneous aneurysmal subarachnoid hemorrhage and epistaxis in an untreated prolactinoma: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310351/
https://www.ncbi.nlm.nih.gov/pubmed/37398917
http://dx.doi.org/10.2176/jns-nmc.2022-0355
work_keys_str_mv AT nishihorimasahiro simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT izumitakashi simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT takeuchikazuhito simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT gotoshunsaku simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT kanamorifumiaki simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT udakenji simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT yokoyamakinya simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT arakiyoshio simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview
AT saitoryuta simultaneousaneurysmalsubarachnoidhemorrhageandepistaxisinanuntreatedprolactinomaacasereportandliteraturereview