A further case of giant intrasellar carotid aneurysm mimicking a pituitary adenoma: the relevance of a multivariate approach in differential diagnosis
We describe a 53 year old woman who progressively showed a left extrinsic oculomotor paresis, at first suggesting ocular myasthenia, which was ruled out by a negative Tensilon test. A CT scan of the brain revealed a pituitary mass consistent with an adenoma which was confirmed by endocrinological in...
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| Veröffentlicht in: | Italian journal of neurological sciences 1994-10, Vol.15 (7), p.369-372 |
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| container_end_page | 372 |
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| container_issue | 7 |
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| container_title | Italian journal of neurological sciences |
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| creator | Barontini, F Ammannati, F Gagliardi, R Maurri, S Mannelli, M Mennonna, P |
| description | We describe a 53 year old woman who progressively showed a left extrinsic oculomotor paresis, at first suggesting ocular myasthenia, which was ruled out by a negative Tensilon test. A CT scan of the brain revealed a pituitary mass consistent with an adenoma which was confirmed by endocrinological investigation and standard MRI. Carotid angiography, performed the day before the scheduled trans-sphenoidal surgery, clearly showed a giant intrasellar aneurysm of the left carotid syphon. An extra-intracranial by-pass with occlusion of the internal carotid artery was successfully executed. |
| doi_str_mv | 10.1007/BF02339935 |
| format | Article |
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A CT scan of the brain revealed a pituitary mass consistent with an adenoma which was confirmed by endocrinological investigation and standard MRI. Carotid angiography, performed the day before the scheduled trans-sphenoidal surgery, clearly showed a giant intrasellar aneurysm of the left carotid syphon. An extra-intracranial by-pass with occlusion of the internal carotid artery was successfully executed.</description><identifier>ISSN: 0392-0461</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/BF02339935</identifier><identifier>PMID: 7698896</identifier><language>eng</language><publisher>Italy</publisher><subject>Adenoma - diagnosis ; Adenoma - diagnostic imaging ; Carotid Artery, Internal - surgery ; Cerebral Angiography ; Diagnosis, Differential ; Female ; Humans ; Intracranial Aneurysm - diagnosis ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - pathology ; Magnetic Resonance Angiography ; Middle Aged ; Pituitary Neoplasms - diagnosis ; Pituitary Neoplasms - diagnostic imaging ; Tomography, X-Ray Computed</subject><ispartof>Italian journal of neurological sciences, 1994-10, Vol.15 (7), p.369-372</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c282t-8b309fd0f9ad9dc668a8a0425742dab8bd4d7dba40bd19235813d0d29c64d91e3</citedby><cites>FETCH-LOGICAL-c282t-8b309fd0f9ad9dc668a8a0425742dab8bd4d7dba40bd19235813d0d29c64d91e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7698896$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barontini, F</creatorcontrib><creatorcontrib>Ammannati, F</creatorcontrib><creatorcontrib>Gagliardi, R</creatorcontrib><creatorcontrib>Maurri, S</creatorcontrib><creatorcontrib>Mannelli, M</creatorcontrib><creatorcontrib>Mennonna, P</creatorcontrib><title>A further case of giant intrasellar carotid aneurysm mimicking a pituitary adenoma: the relevance of a multivariate approach in differential diagnosis</title><title>Italian journal of neurological sciences</title><addtitle>Ital J Neurol Sci</addtitle><description>We describe a 53 year old woman who progressively showed a left extrinsic oculomotor paresis, at first suggesting ocular myasthenia, which was ruled out by a negative Tensilon test. A CT scan of the brain revealed a pituitary mass consistent with an adenoma which was confirmed by endocrinological investigation and standard MRI. Carotid angiography, performed the day before the scheduled trans-sphenoidal surgery, clearly showed a giant intrasellar aneurysm of the left carotid syphon. An extra-intracranial by-pass with occlusion of the internal carotid artery was successfully executed.</description><subject>Adenoma - diagnosis</subject><subject>Adenoma - diagnostic imaging</subject><subject>Carotid Artery, Internal - surgery</subject><subject>Cerebral Angiography</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Aneurysm - diagnosis</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Magnetic Resonance Angiography</subject><subject>Middle Aged</subject><subject>Pituitary Neoplasms - diagnosis</subject><subject>Pituitary Neoplasms - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><issn>0392-0461</issn><issn>1590-3478</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFUU1LxDAQDaLo-nHxLuTkQagmTdok3lbxCwQvei7TJF2jbbomqeAf8feadRc9DTPv8WbePISOKTmnhIiLq1tSMqYUq7bQjFaKFIwLuY1mhKmyILyme2g_xjdCCMvILtoVtZJS1TP0PcfdFNKrDVhDtHjs8MKBT9j5FPKg72GFhDE5g8HbKXzFAQ9ucPrd-QUGvHRpcgnCFwZj_TjAJc5yONjefoLXv5KAh6lP7hOCg2QxLJdhBP2al2Djus4G65ODPjew8GN08RDtdNBHe7SpB-jl9ub5-r54fLp7uJ4_FrqUZSpky4jqDOkUGGV0XUuQQHhZCV4aaGVruBGmBU5aQ1XJKkmZIaZUuuZGUcsO0OlaNx_0MdmYmsFFvXLt7TjFRgghORcqE8_WRB3GGIPtmmVwQ3bdUNKsQmj-Q8jkk43q1A7W_FE3X2c_VTqFMg</recordid><startdate>19941001</startdate><enddate>19941001</enddate><creator>Barontini, F</creator><creator>Ammannati, F</creator><creator>Gagliardi, R</creator><creator>Maurri, S</creator><creator>Mannelli, M</creator><creator>Mennonna, P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19941001</creationdate><title>A further case of giant intrasellar carotid aneurysm mimicking a pituitary adenoma: the relevance of a multivariate approach in differential diagnosis</title><author>Barontini, F ; Ammannati, F ; Gagliardi, R ; Maurri, S ; Mannelli, M ; Mennonna, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c282t-8b309fd0f9ad9dc668a8a0425742dab8bd4d7dba40bd19235813d0d29c64d91e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adenoma - diagnosis</topic><topic>Adenoma - diagnostic imaging</topic><topic>Carotid Artery, Internal - surgery</topic><topic>Cerebral Angiography</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Aneurysm - diagnosis</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Magnetic Resonance Angiography</topic><topic>Middle Aged</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Pituitary Neoplasms - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barontini, F</creatorcontrib><creatorcontrib>Ammannati, F</creatorcontrib><creatorcontrib>Gagliardi, R</creatorcontrib><creatorcontrib>Maurri, S</creatorcontrib><creatorcontrib>Mannelli, M</creatorcontrib><creatorcontrib>Mennonna, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Italian journal of neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barontini, F</au><au>Ammannati, F</au><au>Gagliardi, R</au><au>Maurri, S</au><au>Mannelli, M</au><au>Mennonna, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A further case of giant intrasellar carotid aneurysm mimicking a pituitary adenoma: the relevance of a multivariate approach in differential diagnosis</atitle><jtitle>Italian journal of neurological sciences</jtitle><addtitle>Ital J Neurol Sci</addtitle><date>1994-10-01</date><risdate>1994</risdate><volume>15</volume><issue>7</issue><spage>369</spage><epage>372</epage><pages>369-372</pages><issn>0392-0461</issn><eissn>1590-3478</eissn><abstract>We describe a 53 year old woman who progressively showed a left extrinsic oculomotor paresis, at first suggesting ocular myasthenia, which was ruled out by a negative Tensilon test. A CT scan of the brain revealed a pituitary mass consistent with an adenoma which was confirmed by endocrinological investigation and standard MRI. Carotid angiography, performed the day before the scheduled trans-sphenoidal surgery, clearly showed a giant intrasellar aneurysm of the left carotid syphon. An extra-intracranial by-pass with occlusion of the internal carotid artery was successfully executed.</abstract><cop>Italy</cop><pmid>7698896</pmid><doi>10.1007/BF02339935</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0392-0461 |
| ispartof | Italian journal of neurological sciences, 1994-10, Vol.15 (7), p.369-372 |
| issn | 0392-0461 1590-3478 |
| language | eng |
| recordid | cdi_crossref_primary_10_1007_BF02339935 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adenoma - diagnosis Adenoma - diagnostic imaging Carotid Artery, Internal - surgery Cerebral Angiography Diagnosis, Differential Female Humans Intracranial Aneurysm - diagnosis Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - pathology Magnetic Resonance Angiography Middle Aged Pituitary Neoplasms - diagnosis Pituitary Neoplasms - diagnostic imaging Tomography, X-Ray Computed |
| title | A further case of giant intrasellar carotid aneurysm mimicking a pituitary adenoma: the relevance of a multivariate approach in differential diagnosis |
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