Endoscopic Approach to Cavernous Sinus Aneurysm


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

TURKISH NEUROSURGERY, cilt.23, ss.404-406, 2013 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 23 Konu: 3
  • Basım Tarihi: 2013
  • Doi Numarası: 10.5137/1019-5149.jtn.5503-11.1
  • Dergi Adı: TURKISH NEUROSURGERY
  • Sayfa Sayısı: ss.404-406

Özet

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.