3 Cases of Coincidental Cerebral Aneurysm with Pituitary Tumor.

Kong, Sung Tak; Sung, Ki Won; Sung, Woo Hyun; Cho, Kyoung Suck; Lee, Jai Soo; Baik, Min Woo; Kang, Jun Ki; Song, Jin Un; Choi, Cahng Rak

Original Article

Journal of Korean Neurosurgical Society 1990;19(6): 846-850.

Sung Tak Kong, Ki Won Sung, Woo Hyun Sung, Kyoung Suck Cho, Jai Soo Lee, Min Woo Baik, Jun Ki Kang, Jin Un Song, Cahng Rak Choi

Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.

ABSTRACT

We report three cases of coincidental cerebral aneurysm with pituitary tumor. In our hospital the incidence of such cases was 4.4% of 68 patients with pituitary tumors from March, 1970 to October, 1990. Cases No. 1 was a 47-year-old female suffering from progressive loss of visual acuity. Preoperative brain C-T scan and angiographies revealed unruptured posterior communicating aneurysm with pituitary tumor. Case No. 2 was a 39-year-old male suffering from headache after head trauma with acromegaly. Preoperative brain C-T scan and angiographies appeared unruptured anterior communicating aneurysm and pituitary tumor. Case No. 3 was a 62-year-old female suffering progressive loss of visual acuity and headache. Left middle cerebral artery aneurysm and pituitary tumor were found by preoperative brain C-T scan and angiographies. All cases were operated by transcranial route and performed tumor removal after primary clipping of aneurysm. Postoperatively remained tumor of all cases was treated by radiosurgery successfully.

Key Words: Aneurysm; Pituitary tumor