PMC4899849_01
37-year-old female with an unruptured superior hypophyseal aneurysm. Contrast-enhanced CT showing axial images of the head. A hyperdense region is visualized at the level of the suprasellar cistern (yellow arrow) consistent with an intracerebral aneurysm.
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It demonstrated a saccular dilatation of the left internal carotid artery (ICA) just before the origin of the left middle cerebral artery, measuring approximately 11mm AP x 9.4mm transverse x 10mm cranio-caudal (Fig. 1).
37-year-old female with an unruptured superior hypophyseal aneurysm. One-vessel cerebral DSA. Left superior hypophyseal aneurysm projecting medially with normal cervical, petrous, cavernous portion of the internal carotid artery.
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DSA demonstrated a left superior hypophyseal aneurysm projecting medially with normal cervical, petrous, and cavernous portions of the ICA (Fig. 2).
37-year-old female with an unruptured superior hypophyseal aneurysm. DSA with 3D rotational reconstruction of the left ICA. The blue saccular projection corresponds to a left superior hypophyseal aneurysm.
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Fig. 3 shows a 3D reconstruction of the left ICA, revealing the aneurysm.
37-year-old female with an unruptured superior hypophyseal aneurysm. One-vessel cerebral DSA. A. Left superior hypophyseal aneurysm projecting medially with normal cervical, petrous, cavernous portion of the ICA. B. Postprocedure angiogram: Left superior hypophyseal aneurysm with adequate coil packing and minimal residual neck.
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A postaneurysm embolization, one-vessel cerebral DSA showed a left superior hypophyseal aneurysm with adequate coil packing and minimal residual neck (Fig. 4B).