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뇌하수체 졸중과 뇌동맥류가 공존하는 지주막하출혈

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Affiliated Author(s)
장혁원김미정
Alternative Author(s)
Chang, Hyuk WonKim, Mi Jeong
Journal Title
Keimyung Medical Journal
Issued Date
2011
Keyword
Intracranial aneurysmPituitary apoplexySubarachnoid hemorrhage
Abstract
Pituitary apoplexy presenting with subarachnoid hemorrhage (SAH) is rare and thus may be easily mistaken for aneurysmal rupture. So, It has clinical significancy because of different treatment compared with aneurysmal SAH, especially co-existent pituitary apoplexy and cerebral aneurysm in SAH. We report a case of co-existent pituitary apoplexy and cerebral aneurysm in SAH. A 86-year-old woman presented with sudden headache, vomiting and drowsiness. CT showed diffuse SAH in interhemispheric and basal cisterns, widening of pituitary fossa and intrasella mass with suprasella extension. MRA showed an about 2 mm sized aneurysm at the right MCA bifurcation and elevation of both ACA A1 due to mass effect of the pituitary apoplexy.
Craniotomy was performed and we could find that SAH due to pituitary apoplexy and co-existed
unruptured right MCA aneurysm. We stress that pituitary apoplexy must be included in the
differential diagnosis of SAH, and proper preoperative radiologic imaging and careful
interpretation is demanded for accurate diagnosis and appropriate treatment.
Alternative Title
Subarachnoid Hemorrhage in Co-existent Pituitary Apoplexy and Intracranial Aneurysm
Department
Dept. of Radiology (영상의학)
Publisher
Keimyung University School of Medicine
Citation
권보라 et al. (2011). 뇌하수체 졸중과 뇌동맥류가 공존하는 지주막하출혈. Keimyung Medical Journal, 30(2), 249–253.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15546
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2011
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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