Bilateral intracavernous carotid aneurysms mimicking a prolactin-secreting pituitary tumor

Joel S. Mindel, Ved P. Sachdev, Lanning B. Kline, Mark A. Sivak, Donald A. Bergman, Wen C. Yang, In S. Choi, Yun P. Huang

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The triad of hyperprolactinemia, ophthalmoplegia, and radiologic abnormalities of the sell turcica suggest a tumor in the area of the pituitary gland. A new association-bilateral intracavernous carotid aneurysms-is presented. Two elderly women had extraocular muscle palsies and elevated serum prolactin levels of 71 and 32 ng/ml (normal: <20 ng/ml). In the former, a high-resolution computed tomography scan made after contrast medium injection was incorrectly interpreted as demonstrating a pituitary tumor; cerebral arteriography revealed bilateral aneurysms. In the other patient, a computed tomography scan after contrast medium injection demonstrated the bilateral aneurysms, and these were confirmed by radionuclide angiography.

Original languageEnglish
Pages (from-to)163-167
Number of pages5
JournalSurgical Neurology
Volume19
Issue number2
DOIs
StatePublished - Feb 1983

Keywords

  • Aneurysms
  • Computed tomography
  • Ophthalmoplegia
  • Pituitary tumor
  • Prolactin

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