Ectopic Intrasphenoidal Growth Hormone Releasing Pituitary Adenoma Associated with an Intracranial Aneurysm

Pituitary adenomas are a type of of the most frequent intracranial tumors. These tumors can extend outside the sella, but very rarely originate ectopically to the sellar region. A 71-year-old patient presented to our institution, with prior clinical history of noncontrolled arterial hypertension and...

Full description

Saved in:
Bibliographic Details
Published inAsian journal of neurosurgery Vol. 19; no. 3; pp. 520 - 525
Main Authors Cifuentes-Lobelo, Hernando, Castañeda-Duarte, Marcelo A., Ruiz-Diaz, Diego, Cortes-Lozano, William
Format Journal Article
LanguageEnglish
Published India Thieme Medical and Scientific Publishers Pvt. Ltd 01.09.2024
Subjects
Case Report
acromegaly
ectopic
adenoma
pituitary gland
sphenoid sinus
hypophyseal fossa
Online AccessGet full text

Cover

More Information
Summary:Pituitary adenomas are a type of of the most frequent intracranial tumors. These tumors can extend outside the sella, but very rarely originate ectopically to the sellar region. A 71-year-old patient presented to our institution, with prior clinical history of noncontrolled arterial hypertension and new-onset high-intensity pulsatile headache. Upon suspicion of a hypertensive emergency with probable brain compromise, a nonenhanced computed tomography of the head was performed. A mass within the sphenoid sinus was found. Endocrinological workup demonstrated a significant elevation of the growth hormone. As an incidental finding, a brain aneurysm was evidenced, which was treated endovascularly prior to the mass treatment. Subsequently, the patient successfully underwent a gross total resection through an endonasal transsphenoidal approach. Histopathological results were consistent with a pituitary ectopic adenoma. A postoperative improvement in levels of somatomedin C was documented postoperatively.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1793-5482
2248-9614
DOI:10.1055/s-0042-1757434