Aneurysm Masquerading as a Pure Seller Lesion
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This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.
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.
Aneurysm presenting as a pure sellar lesion is a rare entity. 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.
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