Article Text

other Versions

PDF
CASE REPORT
Recovery of pituitary function following treatment of an unruptured giant cavernous carotid aneurysm using Surpass flow-diverting stents
  1. Lee A Tan1,
  2. Victoria Sandler2,
  3. Kristina Todorova-Koteva2,
  4. Laurence Levine2,
  5. Demetrius K Lopes1,
  6. Roham Moftakhar1
  1. 1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA
  2. 2Department of Endocrinology, Rush University Medical Center, Chicago, Illinois, USA
  1. Correspondence to Dr Lee A Tan, Department of Neurosurgery, Rush University Medical Center, 1725 W Harrison suite 970, Chicago, IL 60612, USA; lee_tan{at}rush.edu

Abstract

Giant aneurysms arising from the cavernous internal carotid artery (ICA) can mimic pituitary adenomas and may cause pituitary dysfunction due to their mass effect on the pituitary gland. We report a case of a 56-year-old man presenting with impotence, fatigue and panhypopituitarism who was found to have a giant unruptured aneurysm arising from the right cavernous ICA with severe mass effect on the pituitary gland. The patient underwent endovascular treatment of the giant aneurysm using two telescoping Surpass flow-diverting stents. At 6-month follow-up, repeat cerebral angiography showed Raymond grade II occlusion of the aneurysm with a small neck remnant. At the 10-month follow-up the patient showed full recovery of his pituitary function and clinical resolution of impotence and fatigue. This is the first report of occlusion of a giant cavernous carotid aneurysm using next generation Surpass flow-diverting stents leading to complete recovery of pituitary function.

  • Aneurysm
  • Flow Diverter
  • Technique

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.