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  • Title: A further case of giant intrasellar carotid aneurysm mimicking a pituitary adenoma: the relevance of a multivariate approach in differential diagnosis.
    Author: Barontini F, Ammannati F, Gagliardi R, Maurri S, Mannelli M, Mennonna P.
    Journal: Ital J Neurol Sci; 1994 Oct; 15(7):369-72. PubMed ID: 7698896.
    Abstract:
    We describe a 53 year old woman who progressively showed a left extrinsic oculomotor paresis, at first suggesting ocular myasthenia, which was ruled out by a negative Tensilon test. A CT scan of the brain revealed a pituitary mass consistent with an adenoma which was confirmed by endocrinological investigation and standard MRI. Carotid angiography, performed the day before the scheduled trans-sphenoidal surgery, clearly showed a giant intrasellar aneurysm of the left carotid syphon. An extra-intracranial by-pass with occlusion of the internal carotid artery was successfully executed.
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