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

Medicine

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