2014
DOI: 10.3109/02688697.2014.969681 View full text |Buy / Rent full text
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Abstract: Pan-hypopituitarism has been reported in patients who are subsequently found to have a cerebral aneurysm and there have been reports of pituitary dysfunction immediately following both surgical and endovascular treatment. The authors report a rare case of delayed pan-hypopituitarism following endovascular treatment of bilateral internal carotid artery aneurysms with coil embolisation and flow-diverting stents.

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“…However, the compression to the pituitary gland persists because of the coils in the aneurysm, thus, necessitating the hormone replacement therapy [ 7 , 8 ]. A flow diversion device with pipeline stent placement has also been reported for treatment, with a certain rate of major complications such as major ipsilateral thrombosis, intraparenchymal hemorrhage, and neurologic death as well as delayed panhypopituitarism partly caused by a compromised blood supply to the pituitary gland because of the flow diversion to ICA [ 9 , 10 , 11 ].…”
Section: Discussionmentioning
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…However, the compression to the pituitary gland persists because of the coils in the aneurysm, thus, necessitating the hormone replacement therapy [ 7 , 8 ]. A flow diversion device with pipeline stent placement has also been reported for treatment, with a certain rate of major complications such as major ipsilateral thrombosis, intraparenchymal hemorrhage, and neurologic death as well as delayed panhypopituitarism partly caused by a compromised blood supply to the pituitary gland because of the flow diversion to ICA [ 9 , 10 , 11 ].…”
Section: Discussionmentioning
“…[ 5 ] Delayed pan-hypopituitarism was observed after treatment of ICA aneurysm with flow diverting stent, partly caused by compromise to the blood supply of the pituitary gland as a result of the flow diversion to the ICA. [ 12 ]…”
Section: Discussionmentioning
“…Intracranial aneurysms localized predominantely in the internal carotid artery and anterior or posterior communicating artery are rare causes of spaceoccupying lesions in sellar and suprasellar region, some of them causing hypopituitarism as an acute or chronic complication (27,28). Aneurysms may present as primary disease or as a complication of pituitary surgery and radiotherapy i.e.…”
Section: Intracranial Aneurysmmentioning