Hypopituitarism and amenorrhea-galactorrhea syndrome caused by thrombosis of both internal carotid artery and giant intrasellar aneurysm: case report.
Giant intra and parasellar aneurysm with a spontaneous thrombosis of internal carotid artery is rare. We report the case of a 34 years old woman presenting a unique giant sellar and parasellar aneurysm associated with hypopituitarism and amenorrhea-galactorrhea syndrome. Computed tomographic scans and magnetic resonance images were suggestive of a sellar tumor with a cystic component. Digital cerebral angiography showed spontaneous thrombosis of a intrasellar and parasellar carotid artery aneurysm and left internal carotid artery in the neck. A transseptal endoscopic biopsy was done and confirmed a thrombosed aneurysm. No other surgical treatment was required in this patient but permanent endocrinological treatment was necessary.
Gondim
Jackson
J
Department of Neuroendocrinology, Fortaleza General Hospital, Fortaleza, CE, and Department of Neurosurgery, Federal University of São Paulo, SP, Brasil. jagondim@secrel.com.br
Schops
Michele
M
Ferreira
Erica
E
D000328:Adult; D000568:Amenorrhea / Q000209:etiology*; D002341:Carotid Artery Thrombosis / Q000150:complications* / Q000175:diagnosis; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D005260:Female; D005687:Galactorrhea / Q000209:etiology*; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology*; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis; D009682:Magnetic Resonance Spectroscopy; D013577:Syndrome; D014057:Tomography, X-Ray Computed