Ding Dale, Mehta Gautam U, Liu Kenneth C
Department of Neurosurgery, University of Virginia , Charlottesville, VA , USA.
Br J Neurosurg. 2014 Apr;28(2):290-2. doi: 10.3109/02688697.2013.829559. Epub 2013 Aug 14.
A 59-year-old female presented with headache and fatigue. Angiography revealed a giant superior hypophyseal aneurysm with intrasellar extension. Serum endocrine panel demonstrated pituitary insufficiency. The aneurysm was treated with a pipeline flow-diverting stent and the hypopituitarism was treated with hormone replacement. Pituitary insufficiency from aneurysmal compression is extremely rare.