Endoscopic Approach to Cavernous Sinus Aneurysm

被引：3

作者：

Ceylan, Savas ^{[1
]}

Anik, Ihsan ^{[1
]}

Koc, Kenan ^{[1
]}

Ciftci, Ercument ^{[2
]}

Cabuk, Burak ^{[1
]}

机构：

[1] Kocaeli Univ, Dept Neurosurg, Pituitary Res Ctr, Kocaeli, Turkey

[2] Kocaeli Univ, Dept Radiol, Fac Med, Kocaeli, Turkey

来源：

TURKISH NEUROSURGERY | 2013年 / 23卷 / 03期

关键词：

Endoscope; Cavernous sinus; Aneurysm; Transphenoidal approach;

D O I：

10.5137/1019-5149.JTN.5503-11.1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Aneurysms protruding into sellae may mimic pituitary tumors by compressing adjacent cranial nerves. Carotid-Cavernous aneurysms are rarely associated with mortality, and surgical intervention is recommended especially for neuro-ophthalmologic progression. In this report we presented a 51-year-old woman who had severe headache and neuro-ophthalmologic signs with the initial diagnosis of pituitary apoplexy on MRI (Magnetic Resonanse Imaging). However preoperative CTA (Computed Tomography Angiography) revealed a carotid cavernous aneurysm protruding into sellae. The patient underwent endovascular intervention and endoscopic transphenoidal approach for the removal of the hematoma compressing the cranial nerves. The patient's neuro-ophthalmologic symptoms were improved during the follow-up, which may be related due to rapid evacuation of the hematoma.

引用

页码：404 / 406

页数：3

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