Turkish Neurosurgery 2013 , Vol 23 , Num 3
Endoscopic Approach to Cavernous Sinus Aneurysm
Savas CEYLAN1, Ihsan ANIK1, Kenan KOC1, Ercument CIFTCI2, Burak CABUK1
1Kocaeli University, Pituitary Research Centre, Department of Neurosurgery, Kocaeli, Turkey
2Kocaeli University, Faculty of Medicine, Department of Radiology, Kocaeli, Turkey
DOI : 10.5137/1019-5149.JTN.5503-11.1 Aneurysms protruding into sellae may mimic pituitary tumors by compressing adjacent cranial nerves. Carotid-Cavernous aneurysms are rarely associated with mortality, and surgical intervention is recommended especially for neuro-ophthalmologic progression. In this report we presented a 51-year-old woman who had severe headache and neuro-ophthalmologic signs with the initial diagnosis of pituitary apoplexy on MRI (Magnetic Resonanse Imaging). However preoperative CTA (Computed Tomography Angiography) revealed a carotid cavernous aneurysm protruding into sellae. The patient underwent endovascular intervention and endoscopic transphenoidal approach for the removal of the hematoma compressing the cranial nerves. The patient’s neuro-ophthalmologic symptoms were improved during the follow-up, which may be related due to rapid evacuation of the hematoma. Keywords : Endoscope, Cavernous sinus, Aneurysm, Transphenoidal approach
Corresponding author : Savas Ceylan, ssceylan@yahoo.com