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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Neurosurgical Society
2023
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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 |
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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 |
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