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[A case of intrasellar and suprasellar meningioma with hypopituitarism].
No Shinkei Geka. 1990 Jul; 18(7):637-42.NS

Abstract

A case of intrasellar and suprasellar meningioma with hypopituitarism is reported. A-64-year-old woman was admitted to our hospital with chief complaints of reduced consciousness and inactivity. She had a history of subarachnoid hemorrhage 20 years previously, and developed right third nerve palsy. Physical examination demonstrated that, in consciousness, she was stuporous, and she had impaired visual acuity and palsy in the right third nerve. An X-ray film of the sella turcica showed enlargement and intrasellar calcification. A CT scan with contrast enhancement revealed a homogenously enhanced mass in the sella and suprasellar region. A cerebral angiogram showed elevation of the bilateral A1 portion of the anterior cerebral artery. No tumor blush was evident. Endocrinologic function tests confirmed impaired anterior lobe hormones and hypothyroidism. Preoperative diagnosis was pituitary adenoma. The tumor was subtotally removed by using the transsphenoidal approach and right frontotemporal craniotomy was carried out using microsurgery in a two staged operation. The tumor was yellowish-grey, partly firm in consistency, and it had a soft elasticity. Operative findings showed that the dura matter of the tuberculum sella, the anterior and posterior clinoid process, the medial sphenoidal ridge, and the wall of the cavernous sinus were intact, which was confirmed at autopsy, later. Microscopical examination revealed a mixed meningothelial and fibroblastic meningioma with papillary component and psammomatous bodies. The tumor was thought to originate in the diaphragma sella, and to extend in intrasellar and suprasellar directions. The patient died of basilar artery thrombosis. In clinical and radiological examination, there is no definite difference between pituitary adenoma and intrasellar meningioma.(ABSTRACT TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

Nagao S
Department of Neurological Surgery, Kagawa Medical School.
Kawai N
No affiliation info available
Ohomoto T
No affiliation info available
Oohashi T
No affiliation info available

MeSH

AdenomaBrain NeoplasmsCerebral AngiographyDiagnosis, DifferentialFemaleHumansHypopituitarismMagnetic Resonance ImagingMeningiomaMiddle AgedPituitary NeoplasmsSella TurcicaTomography, X-Ray Computed

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

jpn

PubMed ID

2203990

Citation

Nagao, S, et al. "[A Case of Intrasellar and Suprasellar Meningioma With Hypopituitarism]." No Shinkei Geka. Neurological Surgery, vol. 18, no. 7, 1990, pp. 637-42.
Nagao S, Kawai N, Ohomoto T, et al. [A case of intrasellar and suprasellar meningioma with hypopituitarism]. No Shinkei Geka. 1990;18(7):637-42.
Nagao, S., Kawai, N., Ohomoto, T., & Oohashi, T. (1990). [A case of intrasellar and suprasellar meningioma with hypopituitarism]. No Shinkei Geka. Neurological Surgery, 18(7), 637-42.
Nagao S, et al. [A Case of Intrasellar and Suprasellar Meningioma With Hypopituitarism]. No Shinkei Geka. 1990;18(7):637-42. PubMed PMID: 2203990.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of intrasellar and suprasellar meningioma with hypopituitarism]. AU - Nagao,S, AU - Kawai,N, AU - Ohomoto,T, AU - Oohashi,T, PY - 1990/7/1/pubmed PY - 1990/7/1/medline PY - 1990/7/1/entrez SP - 637 EP - 42 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 18 IS - 7 N2 - A case of intrasellar and suprasellar meningioma with hypopituitarism is reported. A-64-year-old woman was admitted to our hospital with chief complaints of reduced consciousness and inactivity. She had a history of subarachnoid hemorrhage 20 years previously, and developed right third nerve palsy. Physical examination demonstrated that, in consciousness, she was stuporous, and she had impaired visual acuity and palsy in the right third nerve. An X-ray film of the sella turcica showed enlargement and intrasellar calcification. A CT scan with contrast enhancement revealed a homogenously enhanced mass in the sella and suprasellar region. A cerebral angiogram showed elevation of the bilateral A1 portion of the anterior cerebral artery. No tumor blush was evident. Endocrinologic function tests confirmed impaired anterior lobe hormones and hypothyroidism. Preoperative diagnosis was pituitary adenoma. The tumor was subtotally removed by using the transsphenoidal approach and right frontotemporal craniotomy was carried out using microsurgery in a two staged operation. The tumor was yellowish-grey, partly firm in consistency, and it had a soft elasticity. Operative findings showed that the dura matter of the tuberculum sella, the anterior and posterior clinoid process, the medial sphenoidal ridge, and the wall of the cavernous sinus were intact, which was confirmed at autopsy, later. Microscopical examination revealed a mixed meningothelial and fibroblastic meningioma with papillary component and psammomatous bodies. The tumor was thought to originate in the diaphragma sella, and to extend in intrasellar and suprasellar directions. The patient died of basilar artery thrombosis. In clinical and radiological examination, there is no definite difference between pituitary adenoma and intrasellar meningioma.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/2203990/[A_case_of_intrasellar_and_suprasellar_meningioma_with_hypopituitarism]_ DB - PRIME DP - Unbound Medicine ER -