Endoscopic Extracapsular Removal of Pituitary Adenoma : The Importance of Pretreatment of an Adjacent Unruptured Internal Carotid Artery Aneurysm
Joint Authors
Yamada, So
Murakami, Mineko
Matsuno, Akira
Ishii, Yudo
Hoya, Katsumi
Yamada, Shoko M.
Hirohata, Toshio
Source
Case Reports in Neurological Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The presence of an intracranial aneurysm together with a pituitary adenoma presents tremendous risk of subarachnoid hemorrhage, during transsphenoidal surgery, particularly when the aneurysm lies near the operative field.
A left supraclinoid internal carotid artery aneurysm and a clinically nonfunctioning pituitary adenoma coexisted in a 57-year-old woman.
Initially, the aneurysm was treated by endovascular coil placement, and then the patient underwent pseudocapsule-based extracapsular resection of the pituitary tumor via a transnasal transsphenoidal endoscopic approach.
Pseudocapsule-based extracapsular total resection was safely performed, because of the extirpated risk of rupture of the coil-treated aneurysm.
Recently, transsphenoidal pseudocapsule-based extracapsular resection approach for pituitary adenomas provides a more effective and safe alternative compared to the traditional intracapsular one because of its higher tumor removal and remission rates and lower recurrence rate.
Compared with conventional subcapsular removal, pseudocapsule-based extracapsular resection has more risks of aneurysmal rupture that is located adjacent to pituitary adenoma.
Thus, in a patient having a cerebral aneurysm with the proximity to the operative field, the cerebral aneurysm should be first treated with endovascular coil placement or direct surgical procedure; subsequently, pseudocapsule-based extracapsular resection of the pituitary tumor via a transnasal transsphenoidal endoscopic approach should be performed.
American Psychological Association (APA)
Yamada, So& Yamada, Shoko M.& Hirohata, Toshio& Ishii, Yudo& Hoya, Katsumi& Murakami, Mineko…[et al.]. 2012. Endoscopic Extracapsular Removal of Pituitary Adenoma : The Importance of Pretreatment of an Adjacent Unruptured Internal Carotid Artery Aneurysm. Case Reports in Neurological Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-505881
Modern Language Association (MLA)
Yamada, So…[et al.]. Endoscopic Extracapsular Removal of Pituitary Adenoma : The Importance of Pretreatment of an Adjacent Unruptured Internal Carotid Artery Aneurysm. Case Reports in Neurological Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-505881
American Medical Association (AMA)
Yamada, So& Yamada, Shoko M.& Hirohata, Toshio& Ishii, Yudo& Hoya, Katsumi& Murakami, Mineko…[et al.]. Endoscopic Extracapsular Removal of Pituitary Adenoma : The Importance of Pretreatment of an Adjacent Unruptured Internal Carotid Artery Aneurysm. Case Reports in Neurological Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-505881
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505881