Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Acta Neurochirurgica
Published in: Acta Neurochirurgica 6/2019

01-06-2019 | Pituitary Adenoma | Case Report - Vascular Neurosurgery - Aneurysm

Internal carotid artery aneurysms diagnosed after stereotactic radiosurgery for a growth hormone-secreting pituitary adenoma: a case report and literature review

Authors: Hirotaka Inoue, Takayuki Kawano, Yuki Ohmori, Toshihiro Amadatsu, Haruaki Yamamoto, Toru Nishi, Akitake Mukasa

Published in: Acta Neurochirurgica | Issue 6/2019

Login to get access

Abstract

Radiation therapy is associated with the subsequent development of cerebral aneurysms; however, stereotactic radiosurgery (SRS)-associated aneurysm cases have not been well documented, with only 18 cases reported to date. We present a case of intracranial aneurysms with the rupture occurring 20 years after SRS for a growth hormone-producing pituitary adenoma. This is the first report of aneurysms diagnosed following transsphenoidal surgery and SRS for pituitary adenoma. We believe that the aneurysm reported here is a consequence of the SRS treatment, and thus this may be a very rare long-term complication following radiation treatments.
Appendix
Available only for authorised users
Literature
1.
Akai T, Torigoe K, Fukushima M, Iizuka H, Hayashi Y (2015) De novo aneurysm formation following gamma knife surgery for arteriovenous malformation: a case report. J Neurol Surg Rep 76:e105–e108CrossRefPubMedPubMedCentral
2.
Akamatsu Y, Sugawara T, Mikawa S, Saito A, Ono S, Takayama K, Jokura H, Seki H (2009) Ruptured pseudoaneurysm following gamma knife surgery for a vestibular schwannoma. J Neurosurg 110:543–546CrossRefPubMed
3.
Attanasio R, Epaminonda P, Motti E, Giugni E, Ventrella L, Cozzi R, Farabola M, Loli P, Beck-Peccoz P, Arosio M (2003) Gamma-knife radiosurgery in acromegaly: a 4-year follow-up study. J Clin Endocrinol Metab 88:3105–3112CrossRefPubMed
4.
Benson PJ, Sung JH (1989) Cerebral aneurysms following radiotherapy for medulloblastoma. J Neurosurg 70:545–550CrossRefPubMed
5.
Chen JC, Chao K, Rahimian J (2017) De novo superior cerebellar artery aneurysm following radiosurgery for trigeminal neuralgia. J Clin Neurosci 38:87–90CrossRefPubMed
6.
Gonzales-Portillo GA, Valdivia JM (2006) Uncommon presentation of pediatric ruptured intracranial aneurysm after radiotherapy for retinoblastoma. Case report. Surg Neurol 65:391–395 discussion 395-396CrossRefPubMed
7.
Gross BA, Ropper AE, Du R (2014) Vascular complications of stereotactic radiosurgery for arteriovenous malformations. Clin Neurol Neurosurg 115(6):713–717CrossRef
8.
Huang PP, Kamiryo T, Nelson PK (2001) De novo aneurysm formation after stereotactic radiosurgery of a residual arteriovenous malformation: case report. AJNR Am J Neuroradiol 22:1346–1348PubMed
9.
Hughes JD, Osetinsky LM, Jacob JT, Carlson ML, Lanzino G, Link MJ (2015) Incidentally discovered unruptured AICA aneurysm after radiosurgery for vestibular schwannoma: a case report and review of the literature. Otol Neurotol 36:1428–1431CrossRefPubMed
10.
Kellner CP, McDowell MM, Connolly ES Jr, Sisti MB, Lavine SD (2014) Late onset aneurysm development following radiosurgical obliteration of a cerebellopontine angle meningioma. BMJ Case Rep 2014:bcr2014011206CrossRefPubMedPubMedCentral
11.
Mangiardi JR, Aleksic SN, Lifshitz M, Pinto R, Budzilovic GN, Pearson J (1983) Coincidental pituitary adenoma and cerebral aneurysm with pathological findings. Surg Neurol 19:38–41CrossRefPubMed
12.
Mascitelli JR, McNeill IT, Mocco J, Berenstein A, DeMattia J, Fifi JT (2015) Ruptured distal AICA pseudoaneurysm presenting years after vestibular schwannoma resection and radiation. BMJ Case Rep 2015:bcr2015011736CrossRefPubMedPubMedCentral
13.
Murakami M, Kawarabuki K, Inoue Y, Ohta T (2016) Ruptured pseudoaneurysm after gamma knife surgery for vestibular schwannoma. Neurol Med Chir (Tokyo) 56:38–42CrossRef
14.
Nanney AD 3rd, El Tecle NE, El Ahmadieh TY, Daou MR, Bit Ivan EN, Marymont MH, Batjer HH, Bendok BR (2014) Intracranial aneurysms in previously irradiated fields: literature review and case report. World Neurosurg 81:511–519CrossRefPubMed
15.
Nishi T, Matsukado Y, Kodama T, Hiraki T (1987) Multiple intracranial aneurysms following radiation therapy for pituitary adenoma. Case report. Neurol Med Chir (Tokyo) 27:224–228 [Article in Japanese]CrossRef
16.
Park KY, Ahn JY, Lee JW, Chang JH, Huh SK (2009) De novo intracranial aneurysm formation after gamma knife radiosurgery for vestibular schwannoma. J Neurosurg 110:540–542CrossRefPubMed
17.
Sunderland G, Hassan F, Bhatnagar P, Mitchell P, Jayakrishnan V, Forster D, Mendelow AD (2014) Development of anterior inferior cerebellar artery pseudoaneurysm after gamma knife surgery for vestibular schwannoma. A case report and review of the literature. Br J Neurosurg 28:536–538CrossRefPubMed
18.
Takao T, Fukuda M, Kawaguchi T, Nishino K, Ito Y, Tanaka R, Sato M (2006) Ruptured intracranial aneurysm following gamma knife surgery for acoustic neuroma. Acta Neurochir 148:1317–1318 discussion 1318CrossRefPubMed
19.
Uchikawa H, Nishi T, Kaku Y, Goto T, Kuratsu JI, Yano S (2017) Delayed development of aneurysms following gamma knife surgery for trigeminal neuralgia: report of 2 cases. World Neurosurg 99:813.e13–813.e19CrossRef
20.
Yamaguchi S, Kato T, Takeda M, Ikeda H, Kitamura K (2009) Ruptured distal anterior inferior cerebellar artery aneurysm following stereotactic irradiation for vestibular schwannoma: case report. Neurol Med Chir (Tokyo) 49:202–205CrossRef
Metadata
Title
Internal carotid artery aneurysms diagnosed after stereotactic radiosurgery for a growth hormone-secreting pituitary adenoma: a case report and literature review
Authors
Hirotaka Inoue
Takayuki Kawano
Yuki Ohmori
Toshihiro Amadatsu
Haruaki Yamamoto
Toru Nishi
Akitake Mukasa
Publication date
01-06-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03840-5

Other articles of this Issue 6/2019

Acta Neurochirurgica 6/2019 Go to the issue

Case Report - Vascular Neurosurgery - Aneurysm

Serpentine aneurysm of the posterior cerebral artery treated by internal maxillary artery bypass followed by parent artery occlusion: a case report and literature review

Original Article - Neurosurgery general

Establishing risk-adjusted quality indicators in surgery using administrative data—an example from neurosurgery

Editorial (by Invitation) - Brain trauma

Univariate comparison of PRx, PAx, and RAC—much ado about what?

Original Article - Brain trauma

Univariate comparison of performance of different cerebrovascular reactivity indices for outcome association in adult TBI: a CENTER-TBI study

Original Article - Vascular Neurosurgery - Aneurysm

Long-term results of flow diversion in the treatment of intracranial aneurysms: a retrospective data analysis of a single center

Letter to the editor - Infection

Ensuring safe surgery is more than just tackling antimicrobial resistance: making the case for a skin preparation trial