Patient no. | Author/year | Age (years)/sex | Clinical manifestations | CT imaging | Aneurysm location | Pathological type | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|
1 | Suzuki/2001 [11] | 46/M | Headache, vomiting, and visual impairment | Pituitary tumor with intrasellar and parasellar hemorrhage | Right intracavernous carotid artery | Prolactinoma | Transsphenoidal surgery; endovascular occlusion of the right internal carotid artery by platinum coils | Good |
2 | Okawara/2007 [12] | 48/F | Headache and visual impairment | Pituitary tumor with intratumoral hemorrhage, intraventricular hemorrhage and subdural hemorrhage | Left intracavernous carotid artery | Prolactinoma | Aneurysm coiling by platinum coils; administration of terguride to shrink the pituitary adenoma | Good |
3 | Song/2014 [13] | 31/M | Headache, vomiting and blurred vision | Subarachnoid hemorrhage in basal cisterns | Posterior communicating artery | Pituitary adenoma with hemorrhagic necrosis | Aneurysm clipping; during surgery, pituitary apoplexy was discovered and removed | Good |
4 | Almeida/2014 [15] | 53/M | Headache accompanied by mental confusion | Subarachnoid hemorrhage, interhemispheric hematoma, and suprasellar expansive lesion | Anterior communicating artery | Prolactinoma | Aneurysm clipping; partial resection of the pituitary tumor | Good |
5 | Present case | 49/M | Sudden headache accompanied by a pituitary adenoma that had been untreated for three years | Pituitary adenoma hemorrhage and significant subarachnoid hemorrhage | Anterior communicating artery | Prolactinoma | Aneurysm clipping; major resection of the pituitary tumor | Good |