Endovascular Treatment of Intracavernous Internal Carotid Aneurysm Secondary to Pituitary Infection: A Case Report.

Related Articles

Endovascular Treatment of Intracavernous Internal Carotid Aneurysm Secondary to Pituitary Infection: A Case Report.

World Neurosurg. 2017 Feb 23;:

Authors: Shi L, Zhou M, Xu S, Wu Q, Yan W, Zhang J

Abstract
Intracavernous internal carotid artery (ICICA) aneurysm secondary to pituitary infection is exceedingly rare. We report an unusual case of a 63-year-old man who presented with acute left blepharoptosis and imaging findings of a pituitary infection. Interestingly, sudden onset of right blepharoptosis occurred after anti-infective therapy for ten days. Digital subtraction angiography revealed a right ICICA aneurysm. After six months of follow-up visits, enlargement of the ICICA aneurysm was observed, and the endovascular technique of a low-profile visualized intraluminal support (LVIS) stent combined with five detachable coils was successfully performed to treat the ICICA aneurysm with preservation of the internal carotid artery. This rare case highlights a life-threatening complication of a pituitary infection. Moreover, enlargement of the infected ICICA aneurysm could not be relieved by conservative anti-infective therapy. Endovascular treatment may be an alternative therapy for an infected ICICA aneurysm.

PMID: 28238872 [PubMed - as supplied by publisher]

http://ift.tt/2mzGYkm