Pituitary insufficiency from large unruptured supraclinoid internal carotid artery aneurysm

Abstract

A 59-year-old female presented with headache and fatigue. Angiography revealed a giant superior hypophyseal aneurysm with intrasellar extension. Serum endocrine panel demonstrated pituitary insufficiency. The aneurysm was treated with a pipeline flow-diverting stent and the hypopituitarism was treated with hormone replacement. Pituitary insufficiency from aneurysmal compression is extremely rare.

Keywords::

• cerebral aneurysm
• coil embolization
• complex aneurysms
• pituitary
• sellar mass

Declaration of interest: The authors report no declarations of interest. The authors alone are responsible for the content and writing of the paper.