Document Detail

A potential catastrophic trap: an unusually presenting sellar lesion.
MedLine Citation:
PMID:  18042238     Owner:  NLM     Status:  MEDLINE    
A 63-year-old man was admitted to our emergency unit complaining headache, vomit and vertigo. A MR of the brain showed an expanding lesion within the sellar region. A subsequent angio-MR excluded any intracranial vascular malformations. Surprisingly, a cerebral angiography performed later on the basis of worsening of neurological signs and symptoms, demonstrated an aneurysm of the internal carotid artery. At the best of our knowledge, this is the first case of a thrombosis of an intracavernous carotid aneurysm mimicking a pituitary apoplexy documented by MR and angio-MR. The treatment of a milder syndrome of pituitary apoplexy is still controversial. This case would favour conservative treatment opposed to surgery at least when an intracavernous extension or invasion of the adenoma would limit the opportunity of a complete tumour removal.
M Locatelli; D Spagnoli; M Caroli; M Isalberti; V Branca; S M Gaini; A Lania
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-11-27
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  15     ISSN:  1468-1331     ISO Abbreviation:  Eur. J. Neurol.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-03     Completed Date:  2008-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  98-101     Citation Subset:  IM    
Neurosurgical Department, Fondazione Ospedale Maggiore IRCCS, Policlinico Mangiagalli e Regina Elena, University of Milan, Milano, Italy.
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MeSH Terms
Carotid Artery, Internal / pathology*,  physiopathology,  radiography
Carotid Artery, Internal, Dissection / pathology*,  physiopathology,  radiography
Cavernous Sinus / pathology*,  physiopathology,  radiography
Cerebral Angiography
Diagnosis, Differential
Diagnostic Errors
Headache / etiology
Intracranial Aneurysm / pathology*,  physiopathology,  radiography
Magnetic Resonance Imaging
Middle Aged
Nausea / etiology
Pituitary Apoplexy / diagnosis*
Pituitary Gland / pathology,  physiopathology
Pituitary Neoplasms / diagnosis
Sella Turcica / pathology*
Vertigo / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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