Endovascular Treatment of Intracavernous Internal Carotid Aneurysm Secondary to Pituitary Infection

Ligen Shi; Mading Zhou; Shenbin Xu; Qun Wu; Wei Yan; Jianmin Zhang

doi:10.1016/j.wneu.2017.02.076

Endovascular Treatment of Intracavernous Internal Carotid Aneurysm Secondary to Pituitary Infection

World Neurosurg. 2017 May:101:816.e5-816.e9. doi: 10.1016/j.wneu.2017.02.076. Epub 2017 Feb 24.

Authors

Ligen Shi¹, Mading Zhou¹, Shenbin Xu¹, Qun Wu¹, Wei Yan¹, Jianmin Zhang²

Affiliations

¹ Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
² Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China; Brain Research Institute, Zhejiang University, Hangzhou, Zhejiang, China; Collaborative Innovation Center for Brain Science, Zhejiang University, Hangzhou, Zhejiang, China. Electronic address: zjm135@vip.sina.com.

PMID: 28238872
DOI: 10.1016/j.wneu.2017.02.076

Abstract

Background: Intracavernous internal carotid artery (ICICA) aneurysm secondary to pituitary infection is exceedingly rare.

Case description: 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 10 days. Digital subtraction angiography revealed a right ICICA aneurysm. After 6 months of follow-up visits, enlargement of the ICICA aneurysm was observed, and the endovascular technique of a low-profile visualized intraluminal support stent combined with 5 detachable coils was successfully performed to treat the ICICA aneurysm, with preservation of the internal carotid artery.

Conclusion: 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.

Keywords: Case report; Endovascular treatment; Infected internal carotid artery aneurysm; Pituitary infection.

Publication types

Case Reports

MeSH terms

Aneurysm, Infected / diagnostic imaging
Aneurysm, Infected / etiology
Aneurysm, Infected / surgery*
Carotid Artery Diseases / diagnostic imaging
Carotid Artery Diseases / etiology
Carotid Artery Diseases / surgery*
Carotid Artery, Internal / diagnostic imaging
Carotid Artery, Internal / surgery
Endovascular Procedures* / methods
Humans
Intracranial Aneurysm / diagnostic imaging
Intracranial Aneurysm / etiology
Intracranial Aneurysm / surgery*
Leukocytosis / complications
Leukocytosis / diagnostic imaging
Leukocytosis / surgery*
Male
Middle Aged
Pituitary Diseases / complications
Pituitary Diseases / diagnostic imaging
Pituitary Diseases / surgery*
Treatment Outcome