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Br J Neurosurg. 2014 Apr;28(2):290-2. doi: 10.3109/02688697.2013.829559. Epub 2013 Aug 14.

Pituitary insufficiency from large unruptured supraclinoid internal carotid artery aneurysm.

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  • 1Department of Neurosurgery, University of Virginia , Charlottesville, VA , USA.


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.

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