Intracavernous internal carotid artery aneurysms can extend into the sella and simulate pituitary adenomas. Correct radiological differential diagnosis is fundamental. When treating intrasellar masses at the slightest suspicion of a nonpituitary origin, further workup should be considered. The possibility of a vascular lesion simulating a pituitary adenoma should always be evaluated by neurosurgeons and ear, nose, and throat surgeons operating in the sellar region. We report a case of intracavernous carotid aneurysm mimicking a pituitary adenoma and emphasize the need for a critical neuroradiological evaluation for correct diagnosis and to avoid a potentially life-threatening situation. Keywords: Carotid aneurysm; Pituitary adenoma; Differential diagnosis; Transsphenoidal endoscopic approach
Titolo: | Intracavernous Carotid Aneurysm Mimicking Pituitary Adenoma: An Insidious Surgical Trap | |
Autori: | ||
Data di pubblicazione: | 2014 | |
Rivista: | ||
Abstract: | Intracavernous internal carotid artery aneurysms can extend into the sella and simulate pituitary adenomas. Correct radiological differential diagnosis is fundamental. When treating intrasellar masses at the slightest suspicion of a nonpituitary origin, further workup should be considered. The possibility of a vascular lesion simulating a pituitary adenoma should always be evaluated by neurosurgeons and ear, nose, and throat surgeons operating in the sellar region. We report a case of intracavernous carotid aneurysm mimicking a pituitary adenoma and emphasize the need for a critical neuroradiological evaluation for correct diagnosis and to avoid a potentially life-threatening situation. Keywords: Carotid aneurysm; Pituitary adenoma; Differential diagnosis; Transsphenoidal endoscopic approach | |
Handle: | http://hdl.handle.net/11368/2871061 | |
Digital Object Identifier (DOI): | http://dx.doi.org/10.4172/2324-8785.1000165 | |
Appare nelle tipologie: | 1.1 Articolo in Rivista |