Table 1. Reports of internal carotid artery aneurysms associated with pituitary adenomas.
| Study (year) | Aneurysm location | Discovery of aneurysm | Surgical approach for aneurysm | Discovery of adenoma | Approach for adenoma |
|---|---|---|---|---|---|
| Hori et al (1982) 15 | ICA | Incidental | TC | Acromegaly | TC |
| Matsuyama and Masuda (1993) 16 | ICA | Incidental | TC | Amenorrhea | TC |
| Salpietro et al (1997) 22 | CS ICA | Incidental | IVR (coil) | Vision loss | TS |
| Imamura et al (1998) 32 | CS ICA | Fatal epistaxis | Fatal epistaxis prior to treatment | Incidental | Fatal epistaxis prior to treatment |
| Ohki et al (1999) 33 | ICA | Incidental | TC | Hyperthyroidism | TS |
| Sade et al (2004) 23 | CS ICA | Incidental | IVR (coil) | Acromegaly | TS |
| Yang et al (2005) 27 | CS ICA | Incidental | TC | Hyperprolactinemia | TC |
| Chuang et al (2006) 28 | CS ICA | Incidental | IVR (coil) + TC | Vision loss, apoplexy | TC |
| Curto et al (2007) 34 | CS ICA | Incidental | IVR (balloon) | Acromegaly | Medication |
| Seda et al (2008) 35 | ICA | Incidental | TC | Acromegaly | TS |
| Soni et al (2008) 36 | CS ICA | Incidental | IVR (balloon) | Ophthalmoplegia, hyperprolactinemia, apoplexy | Medication |
| Wang et al (2009) 24 | ICA | Incidental | IVR (coil) | Vision loss, hyperprolactinemia | TS |
| Yu et al (2011) 25 | ICA | Incidental | IVR (coil) | Vision loss, facial paresthesia | TS |
| Yamada et al (2012) 18 | ICA-SHA | Incidental | IVR (coil) | Incidental | TS |
| Xia et al (2012) 26 | ICA-SHA | Incidental | IVR (coil) | Acromegaly | TS |
| Choi et al (2013) 10 | ICA-SHA | Incidental | IVR (coil) | Vision loss | TS |
| Peng et al (2015) 12 | CS ICA | Epistaxis, vision loss | IVR (balloon) | Incidental | TS |
| Khalsa et al (2016) 37 | CS ICA | Incidental a | IVR for deconstruction (coil + microvascular plug + onyx) | Hyperprolactinemia | Medication |
| Khachatryan et al (2018) 38 | ICA | Incidental | IVR (coil) | Acromegaly | Medication |
| Kino et al (2020) 14 | ICA-SHA | Incidental | TC | Vision loss | TS |
| Present study | CS ICA | Incidental | IVR (pipeline) | Incidental | TS |
Abbreviations: CS, cavernous sinus; ICA, internal carotid aneurysm; IVR, interventional radiology; SHA, superior hypophyseal artery; TC, transcranial; TS, transsphenoidal.
Incidental discovery of aneurysm but progressive growth resulted in vision loss and eventual hemorrhage.