Pituitary insufficiency from large unruptured supraclinoid internal carotid artery aneurysm

Br J Neurosurg. 2014 Apr;28(2):290-2. doi: 10.3109/02688697.2013.829559. Epub 2013 Aug 14.

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.

Publication types

  • Case Reports

MeSH terms

  • Carotid Artery Diseases / complications*
  • Carotid Artery Diseases / therapy
  • Carotid Artery, Internal*
  • Cerebral Angiography
  • Embolization, Therapeutic
  • Fatigue / etiology
  • Female
  • Hormone Replacement Therapy
  • Humans
  • Hydrocortisone / therapeutic use
  • Hypopituitarism / etiology*
  • Hypopituitarism / therapy
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / therapy
  • Magnetic Resonance Imaging
  • Middle Aged
  • Pituitary Function Tests
  • Pituitary Hormones / blood
  • Tomography, X-Ray Computed

Substances

  • Pituitary Hormones
  • Hydrocortisone