DOI QR코드

DOI QR Code

Incidental Superior Hypophygeal Artery Aneurysm Embedded within Pituitary Adenoma

  • Choi, Hong-Seok (Department of Neurosurgery, Yeungnam University College of Medicine) ;
  • Kim, Min-Su (Department of Neurosurgery, Yeungnam University College of Medicine) ;
  • Jung, Young-Jin (Department of Neurosurgery, Yeungnam University College of Medicine) ;
  • Kim, Oh-Lyong (Department of Neurosurgery, Yeungnam University College of Medicine)
  • Received : 2012.07.27
  • Accepted : 2013.08.19
  • Published : 2013.09.28

Abstract

Intra-cranial aneurysm can be incidental findings in patients with pituitary adenomas, and are usually located outside the pituitary region. However, the coexistence of intrasellar (not intracranial) aneurysms with pituitary adenomas is extremely rare. We report a patient with an incidental superior hypophygeal aneurysm embedded within a non-functional pituitary adenoma which was treated by transsphenoidal surgery after endovascular coil embolization.

Keywords

References

  1. Acqui M, Ferrante L, Matronardi L, d'Addetta R : Alteration of the collagen type III/type I ratio and intracranial saccular aneurysms in GH-secreting hypophyseal adenomas. Ital J Neurol Sci 9 : 365-368, 1988 https://doi.org/10.1007/BF02334000
  2. Bulsara KR, Karavadia SS, Powers CJ, Paullus WC : Association between pituitary adenomas and intracranial aneurysms : an illustrative case and review of the literature. Neurol India 55 : 410-412, 2007 https://doi.org/10.4103/0028-3886.33307
  3. Fujiwara S, Fujii K, Nishio S, Fukui M : Diagnosis and treatment of pituitary adenoma with adjacent carotid artery aneurysm. J Neurosurg Sci 35 : 41-46, 1991
  4. Hanak BW, Zada G, Nayar VV, Thiex R, Du R, Day AL, et al. : Cerebral aneurysms with intrasellar extension : a systematic review of clinical, anatomical, and treatment characteristics. J Neurosurg 116 : 164-178, 2012 https://doi.org/10.3171/2011.9.JNS11380
  5. Handa J, Matsuda I, Handa H : Association of brain tumor and intracranial aneurysms. Surg Neurol 6 : 25-29, 1976
  6. Housepian EM, Pool JL : A systematic analysis of intracranial aneurysms from the autopsy file of the Presbyterian Hospital, 1914 to 1956. J Neuropathol Exp Neurol 17 : 409-423, 1958 https://doi.org/10.1097/00005072-195807000-00001
  7. Jakubowski J, Kendall B : Coincidental aneurysms with tumours of pituitary origin. J Neurol Neurosurg Psychiatry 41 : 972-979, 1978 https://doi.org/10.1136/jnnp.41.11.972
  8. Manara R, Maffei P, Citton V, Rizzati S, Bommarito G, Ermani M, et al. : Increased rate of intracranial saccular aneurysms in acromegaly : an MR angiography study and review of the literature. J Clin Endocrinol Metab 96 : 1292-1300, 2011 https://doi.org/10.1210/jc.2010-2721
  9. Oh MC, Kim EH, Kim SH : Coexistence of intracranial aneurysm in 800 patients with surgically confirmed pituitary adenoma. J Neurosurg 116 : 942-947, 2012 https://doi.org/10.3171/2011.12.JNS11875
  10. Olsen WL, Brant-Zawadzki M, Hodes J, Norman D, Newton TH : Giant intracranial aneurysms : MR imaging. Radiology 163 : 431-435, 1987 https://doi.org/10.1148/radiology.163.2.3562822
  11. Pant B, Arita K, Kurisu K, Tominaga A, Eguchi K, Uozumi T : Incidence of intracranial aneurysm associated with pituitary adenoma. Neurosurg Rev 20 : 13-17, 1997 https://doi.org/10.1007/BF01390519
  12. Sade B, Mohr G, Tampieri D, Rizzo A : Intrasellar aneurysm and a growth hormone-secreting pituitary macroadenoma. Case report. J Neurosurg 100 : 557-559, 2004 https://doi.org/10.3171/jns.2004.100.3.0557
  13. Sasagawa Y, Tachibana O, Shiraga S, Takata H, Akai T, Iizuka H. [A clinical feature and therapeutic strategy in pituitary adenomas associated with intracranial aneurysms]. No Shinkei Geka 40 : 15-21, 2012
  14. Seda Jr L, Cukiert A, Nogueira KC, Huayllas MK, Liberman B : Intrasellar internal carotid aneurysm coexisting with GH-secreting pituitary adenoma in an acromegalic patient. Arq Neuropsiquiatr 66 : 99-100, 2008 https://doi.org/10.1590/S0004-282X2008000100026
  15. Teng MM, Nasir Qadri SM, Luo CB, Lirng JF, Chen SS, Chang CY : MR imaging of giant intracranial aneurysm. J Clin Neurosci 10 : 460-464, 2003 https://doi.org/10.1016/S0967-5868(03)00092-4
  16. Torres A, Dammers R, Krisht AF : Bilateral internal carotid artery aneurysm simulating pituitary apoplexy : case report. Neurosurgery 65 : E1202; discussion E1202, 2009 https://doi.org/10.1227/01.NEU.0000360127.88741.E3
  17. Wakai S, Fukushima T, Furihata T, Sano K : Association of cerebral aneurysm with pituitary adenoma. Surg Neurol 12 : 503-507, 1979
  18. Yang MY, Chen C, Shen CC : Cavernous aneurysm and pituitary adenoma : management of dual intrasellar lesions. J Clin Neurosci 12 : 477-481, 2005 https://doi.org/10.1016/j.jocn.2004.05.020
  19. Yu K, Herwadkar A, Kearney T, Gnanalingham KK : Pituitary adenoma and incidental superior hypophyseal aneurysm. Br J Neurosurg 25 : 432-433, 2011 https://doi.org/10.3109/02688697.2010.509521

Cited by

  1. Coexistence of aneurysmal subarachnoid hemorrhage and surgically identified pituitary apoplexy: a case report and review of the literature vol.8, pp.1, 2013, https://doi.org/10.1186/1752-1947-8-166
  2. Pituitary adenoma apoplexy caused by rupture of an anterior communicating artery aneurysm: case report and literature review vol.13, pp.None, 2013, https://doi.org/10.1186/s12957-015-0653-z
  3. Intracranial Hemorrhage due to Rupture of an Anterior Communicating Artery Aneurysm in a Patient With Pituitary Adenoma vol.26, pp.2, 2015, https://doi.org/10.1097/scs.0000000000001384
  4. Descent of the anterior communicating artery after removal of pituitary macroadenoma using transsphenoidal surgery vol.8, pp.1, 2017, https://doi.org/10.4103/sni.sni_411_16
  5. Enlargement of an incidental internal carotid artery aneurysm embedded in pituitary adenoma associated with medical shrinkage of the tumor: Case report vol.9, pp.1, 2013, https://doi.org/10.4103/sni.sni_317_17
  6. Management of Coincident Pituitary Macroadenoma and Cavernous Carotid Aneurysm: A Systematic Literature Review vol.82, pp.3, 2021, https://doi.org/10.1055/s-0041-1735904