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Table 1 Patients with pituitary adenoma and ruptured aneurysm presenting with pituitary apoplexy or intracranial hemorrhage

From: Pituitary adenoma apoplexy caused by rupture of an anterior communicating artery aneurysm: case report and literature review

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