Hypopituitarism and amenorrhea- galactorrhea syndrome caused by thrombosis of both internal carotid artery and giant intrasellar aneurysm: case report

Hypopituitarism and amenorrhea- galactorrhea syndrome caused by thrombosis of both internal carotid artery and giant intrasellar aneurysm: case report

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 Google Scholar
Schops, Michele Autor UNIFESP Google Scholar
Ferreira, Erica Google Scholar
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 http://dx.doi.org/10.1590/S0004-282X2004000100029
Access rights Open access Open Access
Type Article
SciELO ID S0004-282X2004000100029 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/2022

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