Clipping of a superior hypophyseal artery aneurysm during endoscopic transnasal removal of a Rathke cleft cyst: a case report

Publication

Clipping of a superior hypophyseal artery aneurysm during endoscopic transnasal removal of a Rathke cleft cyst: a case report

Journal Paper/Review - Nov 26, 2018

Serra Carlo, Sebök Martina, Widmer Lukas, Neidert Marian Christoph, Regli Luca

Citation

Serra C, Sebök M, Widmer L, Neidert M, Regli L. Clipping of a superior hypophyseal artery aneurysm during endoscopic transnasal removal of a Rathke cleft cyst: a case report. Acta Neurochir (Wien) 2018; 161:197-201.

Type

Journal Paper/Review (English)

Journal

Acta Neurochir (Wien) 2018; 161

Publication Date

Nov 26, 2018

Issn Electronic

0942-0940

Pages

197-201

Brief description/objective

The concomitant presence of an aneurysm in contact with a sellar lesion usually contraindicates a transsphenoidal approach (TSS). Clipping of an intracranial aneurysm is however possible in highly selected cases also through an endoscopic TSS approach, as long as the basic principles of cerebrovascular surgery are respected. We report thus on a case of a patient harboring a Rathke cleft cyst (RCC) and an aneurysm of the carotid artery (ICA) in close contact with the RCC. The anatomical characteristics of both lesions warranted an endoscopic TSS for removal of the RCC and clipping of the aneurysm during the same approach.