Endoscopic Approach to Cavernous Sinus Aneurysm


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CEYLAN S. , ANIK İ. , Koc K., ÇİFTÇİ E. , ÇABUK B.

TURKISH NEUROSURGERY, vol.23, no.3, pp.404-406, 2013 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 3
  • Publication Date: 2013
  • Doi Number: 10.5137/1019-5149.jtn.5503-11.1
  • Title of Journal : TURKISH NEUROSURGERY
  • Page Numbers: pp.404-406

Abstract

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.