Hypopituitarism secondary to suprasellar giant carotido-ophthalmic aneurysm. Normalization of the hypophyseal function after neurosurgical depression of the aneurysm

A 49-year-old man presented with a 6-month history of weight loss, muscular weakness, easy fatigue, impotence, decreased visual acuity, campimetry defects. The results of radiologic and endocrine testing disclosed the presence of pituitary dysfunction due to pituitary stalk section caused by a giant...

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Bibliographic Details
Published inMinerva endocrinologica Vol. 14; no. 4; p. 255
Main Authors Giustina, A, Scalvini, T, Cerudelli, B, Bossoni, S, Bodini, C, Orlandini, A, Romanelli, G
Format Journal Article
LanguageItalian
Published Italy 01.10.1989
Subjects
Aneurysm - complications
Aneurysm - surgery
Carotid Artery Diseases - complications
Carotid Artery Diseases - surgery
Carotid Artery, Internal
Humans
Hypopituitarism - etiology
Hypopituitarism - surgery
Male
Middle Aged
Ophthalmic Artery
Remission Induction
Sella Turcica
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Summary:A 49-year-old man presented with a 6-month history of weight loss, muscular weakness, easy fatigue, impotence, decreased visual acuity, campimetry defects. The results of radiologic and endocrine testing disclosed the presence of pituitary dysfunction due to pituitary stalk section caused by a giant suprasellar aneurysm extending into the sellar region. After the neurosurgical decompression of the aneurysm a progressive normalization of all pituitary functions was demonstrated. In this case, the preoperative finding of a preserved pituitary integrity with acute and prolonged endocrine testing demonstrated to be predictable of a recovery of the hypothalamo-pituitary axis after the removal of the mass effect caused by the giant aneurysm.
ISSN:0391-1977