RESUMO
OBJECTIVE: The association between intracranial aneurysm and pituitary adenomas has not been definitely established, with some authors reporting an incidence of 7.4%. The factors have not been defined; 97% of aneurysms are on anterior circulation. We describe three patients who demonstrate this association. CLINICAL CASES: Patient 1 is a 38-year-old female with a diagnosis of pituitary adenoma with acromegaly. This patient was operated on with a right frontotemporal approach, placement of clip on carotid ophthalmic area and resection of adenoma. Patient 2 is a 58-year-old male with a diagnosis of macroadenoma and aneurysm of anterior communicating artery and was operated on using a right frontotemporal approach. Patient 3 is a 23-year-old male with macroprolactinoma and we used a right frontotemporal approach with placement of clip on choroidal segment and resection of the adenoma. DISCUSSION: There were three patients who demonstrated the association of aneurysm and adenoma. All aneurysms were of anterior circulation with simultaneous treatment of aneurysm and the adenoma. CONCLUSIONS: We have not yet established incidence or prevalence.
Assuntos
Adenoma/complicações , Aneurisma Intracraniano/complicações , Neoplasias Hipofisárias/complicações , Adenoma/diagnóstico , Adulto , Feminino , Humanos , Aneurisma Intracraniano/diagnóstico , Aneurisma Intracraniano/cirurgia , Angiografia por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos , Neoplasias Hipofisárias/diagnóstico , Resultado do TratamentoRESUMO
La articulación atlanto-axoidea puede ser afectada por diversos procesos patológicos, reumáticos, tumorales o traumáticos. La sintomatología es variada dependiendo del grado de compresión. El tratamiento es doble descompresivo y de fijación. En el trabajo se presentan dieciocho enfermos con luxación de esta articulación. Todos tuvieron importantes alteraciones neurológicas. En todos los pacientes se empleó tracción cervical previa a la cirugía que consistió en fijación usando alambre y acrílico en unos casos y en otros alambre y hueso. Los resultados fueron excelentes en nueve casos, cuatro tuvieron buenos resultados, dos malos resultados y tres fallecieron por complicaciones cardiomusculares.(AU)_______________________________________________________
