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Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report
BACKGROUND: Pituitary dysfunction in adults are often associated with tumors of the gland and manifests with mass effects and hypopituitarism. MRI of pituitary region often provides confirmation of the diagnosis and assists in planning neurosurgery. CASE PRESENTATION: A 69 years old female evaluated...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894197/ https://www.ncbi.nlm.nih.gov/pubmed/29636087 http://dx.doi.org/10.1186/s13104-018-3329-2 |
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author | Wijethunga, W. M. U. A. Dissanayake, H. A. Perera, S. Katulanda, P. |
author_facet | Wijethunga, W. M. U. A. Dissanayake, H. A. Perera, S. Katulanda, P. |
author_sort | Wijethunga, W. M. U. A. |
collection | PubMed |
description | BACKGROUND: Pituitary dysfunction in adults are often associated with tumors of the gland and manifests with mass effects and hypopituitarism. MRI of pituitary region often provides confirmation of the diagnosis and assists in planning neurosurgery. CASE PRESENTATION: A 69 years old female evaluated for chronic headache was found to have a supra-sellar mass lesion that mimicked a pituitary tumor, with biochemical evidence of hypopituitarism. Cerebral angiogram confirmed the diagnosis of an aneurysm of the intracavernous internal carotid artery. She was successfully treated with coil embolization of the aneurysm and achieved resolution of symptoms and return of biochemistries to normal. CONCLUSION: Carotid aneurysm can mimc pituitary tumours clinically and radiologically on MRI scan. This rare possibility should be considered in evaluating supra-sellar masses to avoid catastrophic consequences. |
format | Online Article Text |
id | pubmed-5894197 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58941972018-04-12 Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report Wijethunga, W. M. U. A. Dissanayake, H. A. Perera, S. Katulanda, P. BMC Res Notes Case Report BACKGROUND: Pituitary dysfunction in adults are often associated with tumors of the gland and manifests with mass effects and hypopituitarism. MRI of pituitary region often provides confirmation of the diagnosis and assists in planning neurosurgery. CASE PRESENTATION: A 69 years old female evaluated for chronic headache was found to have a supra-sellar mass lesion that mimicked a pituitary tumor, with biochemical evidence of hypopituitarism. Cerebral angiogram confirmed the diagnosis of an aneurysm of the intracavernous internal carotid artery. She was successfully treated with coil embolization of the aneurysm and achieved resolution of symptoms and return of biochemistries to normal. CONCLUSION: Carotid aneurysm can mimc pituitary tumours clinically and radiologically on MRI scan. This rare possibility should be considered in evaluating supra-sellar masses to avoid catastrophic consequences. BioMed Central 2018-04-10 /pmc/articles/PMC5894197/ /pubmed/29636087 http://dx.doi.org/10.1186/s13104-018-3329-2 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Wijethunga, W. M. U. A. Dissanayake, H. A. Perera, S. Katulanda, P. Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
title | Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
title_full | Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
title_fullStr | Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
title_full_unstemmed | Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
title_short | Intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
title_sort | intra cavernous aneurysm of internal carotid artery masquerading as a pituitary adenoma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894197/ https://www.ncbi.nlm.nih.gov/pubmed/29636087 http://dx.doi.org/10.1186/s13104-018-3329-2 |
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