Pituitary insufficiency from large unruptured supraclinoid internal carotid artery aneurysm.
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.
Department of Neurosurgery, University of Virginia , Charlottesville, VA , USA.
Dale
D
Ding
Gautam U
GU
Mehta
Kenneth C
KC
Liu
D002340:Carotid Artery Diseases / Q000150:complications* / Q000628:therapy; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005221:Fatigue / Q000209:etiology; D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007018:Hypopituitarism / Q000209:etiology* / Q000628:therapy; D002532:Intracranial Aneurysm / Q000150:complications* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010901:Pituitary Function Tests; D010907:Pituitary Hormones / Q000097:blood; D014057:Tomography, X-Ray Computed
D010907:Pituitary Hormones; D006854:Hydrocortisone