Intracranial Aneurysm Causing Panhypopituitarism, Blindness, Seizures, and Dementia
Authors: SID GILMAN
Journal: Annals of Internal Medicine (1962)

Case Studies1 October 1962Intracranial Aneurysm Causing Panhypopituitarism, Blindness, Seizures, and DementiaSID GILMAN, M.D., LEWIS E. BRAVERMAN, M.D., ARNOLD STARR, M.D., SIMON HORENSTEIN, M.D., JEREMIAH G. TILLES, M.D.SID GILMAN, M.D.Search for more papers by this author, LEWIS E. BRAVERMAN, M.D.Search for more papers by this author, ARNOLD STARR, M.D.Search for more papers by this author, SIMON HORENSTEIN, M.D.Search for more papers by this author, JEREMIAH G. TILLES, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-4-639 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIntracranial aneurysms of the sellar region which compress the optic nerves, chiasm, or tracts may simulate pituitary tumors by causing visual field defects (1-3). The presumed rarity of hypopituitarism in association with these aneurysms previously served as one clinical means of distinguishing aneurysm from tumor (4). Paralleling advances in the assessment of pituitary function, however, an increasing number of reports relate pituitary failure to aneurysms of the sellar region (1, 3, 5-17). As the true incidence of hypopituitarism secondary to aneurysm becomes apparent, the value of pituitary failure as a sign of tumor rather than aneurysm diminishes.This report concerns...References1. JEFFERSON G: Compression of the chiasma, optic nerves, and optic tracts by intracranial aneurysms. Brain 60: 444, 1937. CrossrefGoogle Scholar2. JEFFERSON G: Further concerning compression of the optic pathways by intracranial aneurysms, in Clinical Neurosurgery: Proceedings of the Congress of Neurological Surgeons, New Orleans, Louisiana, The Williams & Wilkins Company, Baltimore, 1955, p. 55. CrossrefGoogle Scholar3. 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Endocr. 19: 875, 1959. CrossrefMedlineGoogle Scholar21. OPPENHEIMERFISHERJAILER JHLVJW: Disturbance of the pituitary-adrenal interrelationships in diseases of the central nervous system. J. Clin. Endocr. 21: 1023, 1961. CrossrefGoogle Scholar22. HOKFELTLUFT RLR: The effect of suprasellar tumours on the regulation of adrenal cortical function. Acta Endocr. (Kbh.) 32: 177, 1959. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, MassachusettsFrom the Neurological Unit, Thorndike Memorial Laboratory, and Second and Fourth (Harvard) Medical Services, Boston City Hospital, and the Departments of Neurology and Medicine, Harvard Medical School.Requests for reprints should be addressed to Sid Gilman, M.D., Neurological Unit, Boston City Hospital, Boston 18, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPersistent hyperprolactinemia, transient hypopituitarism, and transient contralateral third nerve palsy after endovascular treatment of an internal carotid artery aneurysm: Case report and review of the literatureClinical presentation and management of giant anterior communicating artery region aneurysmsThe Pathology of Intracranial Arterial Aneurysms and Their ComplicationsSigns and SymptomsStörungen der Makrozirkulation 1 October 1962Volume 57, Issue 4Page: 639-646KeywordsAneurysmsDementiaHospital medicineNeurologyOptic nervePanhypopituitarismPituitary tumorsResearch laboratoriesThrombosisVision Issue Published: 1 October 1962 PDF downloadLoading ...