Alternative title | Hipopituitarismo e síndrome amenorreia-galactorreia causados por trombose de aneurisma carotídeo e da artéria carótida no pescoço: relato de caso |
Author |
Gondim, Jackson
![]() Schops, Michele ![]() ![]() Ferreira, Erica ![]() |
Institution | Fortaleza General Hospital Department of Neuroendocrinology Universidade Federal de São Paulo (UNIFESP) Federal University of Ceará Department of Anesthesiology Fortaleza General Hospital Department of Neck and Head Surgery |
Abstract | 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. Aneurismas selares e paraselares gigantes com trombose da artéria carótida cervical e intracraniana são raros. Apresentamos o caso de mulher de 34 anos apresentando hipopituitarismo e síndrome amenorréia-galactorréia. A tomografia computadorizada craniana e a ressonância magnética foram sugestivas de tumor selar com componente cístico. Angiografia digital cerebral mostrou aneurisma único gigante selar e parasselar e trombose completa da artéria carótida comum esquerda no pescoço. A biopsia transeptal endoscópica da lesão mostrou tratar-se de aneurisma carotídeo trombosado. Não foi realizado nenhum outro tratamento cirúrgico na paciente, mas apenas tratamento endocrinológico de reposição. |
Keywords |
intracranial aneurysm
pituitary prolactin suprasellar mass thrombosed aneurysm endoscopy aneurisma intracraniano hipófise, prolactina aneurisma trombosado endoscopia |
Language | English |
Date | 2004-03-01 |
Published in | Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 62, n. 1, p. 158-161, 2004. |
ISSN | 0004-282X (Sherpa/Romeo) |
Publisher | Academia Brasileira de Neurologia - ABNEURO |
Extent | 158-161 |
Origin |
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Access rights | Open access ![]() |
Type | Article |
SciELO ID | S0004-282X2004000100029 (statistics in SciELO) |
URI | http://repositorio.unifesp.br/handle/11600/2022 |
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