title: Endoscopic approach to cavernous sinus aneurysm.
abstract: Aneurysms protruding into sellae may mimic pituitary tumors by compressing adjacent cranial nerves. Carotid-Cavernous aneurysms are rarely associated with mortality, and surgical intervention is recommended especially for neuro-ophthalmologic progression. In this report we presented a 51-year-old woman who had severe headache and neuro-ophthalmologic signs with the initial diagnosis of pituitary apoplexy on MRI (Magnetic Resonanse Imaging). However preoperative CTA (Computed Tomography Angiography) revealed a carotid cavernous aneurysm protruding into sellae. The patient underwent endovascular intervention and endoscopic transphenoidal approach for the removal of the hematoma compressing the cranial nerves. The patient's neuro-ophthalmologic symptoms were improved during the follow-up, which may be related due to rapid evacuation of the hematoma.
authors.affiliation: Kocaeli University, Pituitary Research Centre, Department of Neurosurgery, Kocaeli, Turkey. ssceylan@yahoo.com
authors.forename: Savas
authors.initials: S
authors.lastname: Ceylan
authors.forename: Ihsan
authors.initials: I
authors.lastname: Anik
authors.forename: Kenan
authors.initials: K
authors.lastname: Koc
authors.forename: Ercument
authors.initials: E
authors.lastname: Ciftci
authors.forename: Burak
authors.initials: B
authors.lastname: Cabuk
mesh_terms: D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002533:Cerebral Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged