Bulsara Ketan R, Karavadia Saumil S, Powers Ciaran J, Paullus Wayne C
Department of Neurosurgery, University Hospital and Clinics, Columbia, Missouri, USA.
Neurol India. 2007 Oct-Dec;55(4):410-2. doi: 10.4103/0028-3886.33307.
The co-existence of cerebral aneurysms and pituitary adenomas is rare. Here, we report a patient with a coexisting anterior communicating artery aneurysm and a pituitary adenoma and review the available literature concerning this phenomenon. There is a debate in the literature regarding any causal relationship between aneurysms and pituitary tumors, although there are many reports of aneurysms caused by trauma or radiation following treatment of pituitary tumors. These simultaneous lesions are best diagnosed with magnetic resonance imaging with magnetic resonance angiography. Craniotomy for simultaneous aneurysm clipping and resection of the pituitary tumor is the best treatment option.
脑动脉瘤和垂体腺瘤并存的情况较为罕见。在此，我们报告一例前交通动脉瘤和垂体腺瘤并存的患者，并回顾有关这一现象的现有文献。尽管有许多关于垂体肿瘤治疗后因创伤或放疗导致动脉瘤的报道，但文献中对于动脉瘤与垂体肿瘤之间是否存在因果关系仍存在争议。这些同时出现的病变最好通过磁共振成像和磁共振血管造影来诊断。同时进行动脉瘤夹闭和垂体肿瘤切除的开颅手术是最佳治疗选择。
