Fatal epistaxis caused by rupture of an intratumoral aneurysm enclosed by a large prolactinoma - Case report

被引：25

作者：

Imamura, J

Okuzono, T

Okuzono, Y

机构：

[1] Shimonoseki Natl Hosp, Dept Neurosurg, Shimonoseki, Yamaguchi 7518501, Japan

[2] Shimonoseki Natl Hosp, Dept Otolaryngol, Shimonoseki, Yamaguchi 7518501, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 1998年 / 38卷 / 10期

关键词：

epistaxis; intracavernous aneurysm; intratumoral aneurysm; pituitary tumor; prolactinoma;

D O I：

10.2176/nmc.38.654

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 72-year-old female presented with episodes of epistaxis. Neuroimaging demonstrated a large prolactinoma totally enclosing a large intracavernous aneurysm of the internal carotid artery. Adjacent bony structures were eroded and destroyed by tumor invasion and extension. Rupture of the intratumoral aneurysm caused fatal epistaxis rather than subarachnoid hemorrhage before surgery. Intratumoral aneurysm is rare and epistaxis caused by rupture of it is extremely rare. Lack of bony protection apparently have contributed to the aneurysmal growth and rupture.

引用

页码：654 / 656

页数：3

共 15 条

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Crandon I W, 1988, Br J Neurosurg, V2, P507, DOI 10.3109/02688698809029606

[2]

GIANT INFECTIOUS INTRACAVERNOUS CAROTID-ARTERY ANEURYSM PRESENTING AS INTRACTABLE EPISTAXIS [J].