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Images in Neurosciences
10 (
2
); 323-323
doi:
10.4103/jnrp.jnrp_238_18

Aneurysm Masquerading as a Pure Seller Lesion

Department of Neurosurgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
Address for correspondence: Dr. Sunil Munakomi, Department of Neurosurgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. E-mail: sunilmunakomi@gmail.com
Licence

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Disclaimer:
This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.

A 75-year-old patient presented to our clinic with a history of sudden severe headache for the last 1 day. He had no significant past medical or surgical illnesses. His neurological examination was significant only for the presence of subtle neck rigidity. His brain radio-imaging revealed a sellar lesion [Figure 1]. However, on additional vascular imaging, it turned out to be a probable superior hypophyseal artery aneurysm masquerading as a pure sellar lesion [Figure 2]. The diagnosis was explained to the patient party and the management plans were detailed. However, the relatives opted to take the patient home.

Figure 1: Magnetic resonance images revealing a pure intrasellar lesion
Figure 2: Magnetic resonance angiography revealing an aneurysm at the cavernous segment of internal carotid artery aneurysm

Aneurysm presenting as a pure sellar lesion is a rare entity.[1] It is therefore prudent to keep it as a differential diagnosis in any sellar pathology and evaluate it through angiography, thereby preventing catastrophic complications during their surgical management.[2]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

REFERENCES

  1. , , , , , . Giant aneurysms of the sellar region simulating pituitary adenomas: A diagnosis to be considered. J Endocrinol Invest. 1991;14:975-9.
    [Google Scholar]
  2. , , , , . Internal carotid artery aneurysm in the sella turcica area simulating pituitary tumor. Neurol Neurochir Pol. 1984;18:187-90.
    [Google Scholar]
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