{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T13:43:00Z","timestamp":1725630180980},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"785","license":[{"start":{"date-parts":[[1991,3,1]],"date-time":"1991-03-01T00:00:00Z","timestamp":667785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,3,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We describe a patient who initially presented with severe hyponatraemia and grand mal seizures, without any focal neurological symptoms. The final diagnosis was that of giant bilateral carotid aneurysms extending into the sella turcica with anterior hypopituitarism. To the best of our knowledge, this is the first case report of symmetrical carotid aneurysms manifested exclusively by an acute endocrine emergency with none of the concomitant usual focal signs such as headache, failing vision, oculomotor palsy or subarachnoid hemorrhage.<\/jats:p>","DOI":"10.1136\/pgmj.67.785.285","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"285-288","source":"Crossref","is-referenced-by-count":7,"title":["Bilateral carotid aneurysms unmasked by severe hypopituitarism"],"prefix":"10.1093","volume":"67","author":[{"given":"A","family":"Michils","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Erasme Hospital, Universit\u00e9 Libre de Bruxelles , B-1070 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Bal\u00e9riaux","sequence":"additional","affiliation":[{"name":"Department of Radiology, Erasme Hospital, Universit\u00e9 Libre de Bruxelles , B-1070 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Mockel","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Erasme Hospital, Universit\u00e9 Libre de Bruxelles , B-1070 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,3,1]]},"reference":[{"issue":"16","key":"ref_1","first-page":"44","article-title":"Aneurysm of an anomalous artery causing anteroposterior division of the chiasm of the optic nerves and producing bitemporal hemianopia","volume":"1889","author":"Mitchell, S.W.","unstructured":"Mitchell, S.W. Aneurysm of an anomalous artery causing anteroposterior division of the chiasm of the optic nerves and producing bitemporal hemianopia. J Nerv Ment Dis 1889, 16: 44-62.","journal-title":"J Nerv Ment Dis"},{"key":"ref_2","first-page":"617","article-title":"The parasellar syndrome: problems in determining etiology","volume-title":"Mayo Clin Proc 1970","volume":"45","author":"Thomas, J.E.; Ross, R.E.","unstructured":"Thomas, J.E. & Ross, R.E. The parasellar syndrome: problems in determining etiology. Mayo Clin Proc 1970, 45: 617-623."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1136\/jnnp.41.1.83","article-title":"Large suprasellar aneurysms imitating pituitary tumour","volume":"41","author":"Raymond, L.A.; Tew, J.","year":"1978","unstructured":"Raymond, L.A. & Tew, J. Large suprasellar aneurysms imitating pituitary tumour. J Neurol Neurosurg Psychiatry 1978, 41: 83-87.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"18","key":"ref_4","first-page":"34","article-title":"Intrasellar aneurysms simulating hypophyseal tumours","volume":"1961","author":"White, J.C.; Ballantine, H.T.","unstructured":"White, J.C. & Ballantine, H.T. Intrasellar aneurysms simulating hypophyseal tumours. J Neurosurg 1961, 18: 34-50.","journal-title":"J Neurosurg"},{"issue":"31","key":"ref_5","first-page":"125","article-title":"The significance of enlargement of the superior orbital (sphenoidal) fissure","volume":"1958","author":"Rischbieth, R.H.; Bull, J.W.","unstructured":"Rischbieth, R.H. & Bull, J.W. The significance of enlargement of the superior orbital (sphenoidal) fissure. Br J Radiol 1958, 31: 125-135.","journal-title":"Br J Radiol"},{"key":"ref_6","first-page":"501","article-title":"Hypopituitarism","volume-title":"The Pituitary Gland","author":"Imura, H.","year":"1985","unstructured":"Imura, H. Hypopituitarism. In: Imura, H. (ed) The Pituitary Gland. Raven Press, New York, 1985, pp. 501-525."},{"key":"ref_7","first-page":"15","article-title":"Selective hypopituitarism with severe hyponatremia and secondary hyporeninism","volume":"46","author":"Major, P.; Kuchel, O.; Boucher, W.; Nowaczynski, W.; Genest, J.","year":"1987","unstructured":"Major, P., Kuchel, O., Boucher, W., Nowaczynski, W. & Genest, J. Selective hypopituitarism with severe hyponatremia and secondary hyporeninism. J Clin Endocrinol Metab 1987, 46: 15-19.","journal-title":"J Clin Endocrinol Metab"},{"key":"ref_8","first-page":"947","article-title":"Adrenocortical insufficiency. Clin Endocrinol Metab","volume":"14","author":"Burke, C.W.","year":"1985","unstructured":"Burke, C.W. Adrenocortical insufficiency. Clin Endocrinol Metab 1985, 14: 947-976."},{"issue":"18","key":"ref_9","first-page":"821","article-title":"Hyponatremia in pituitary insufficiency","volume":"1969","author":"Davis, B.B.; Bloom, M.E.; Field, J.B.; Mintz, D.H.","unstructured":"Davis, B.B., Bloom, M.E., Field, J.B. & Mintz, D.H. Hyponatremia in pituitary insufficiency. Metabolism 1969, 18: 821-832.","journal-title":"Metabolism"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1056\/NEJM196504152721504","article-title":"Hyponatremia in hypopituitarism","volume":"272","author":"Bethune, J.E.; Nelson, D.H.","year":"1965","unstructured":"Bethune, J.E. & Nelson, D.H. Hyponatremia in hypopituitarism. N Engl J Med 1965, 272: 771-776.","journal-title":"N Engl J Med"},{"key":"ref_11","first-page":"605","article-title":"The pituitary gland","volume":"9","author":"Strong, J.A.","year":"1980","unstructured":"Strong, J.A. The pituitary gland. Clin Endocrinol Metab 1980, 9 605-614.","journal-title":"Clin Endocrinol Metab"},{"issue":"62","key":"ref_12","first-page":"566","article-title":"Intracavernous aneurysms of the internal carotid artery. Their clinical features and natural history","volume":"1959","author":"Meadows, S.P.","unstructured":"Meadows, S.P. Intracavernous aneurysms of the internal carotid artery. Their clinical features and natural history. Arch Ophthalmol 1959, 62: 566-574.","journal-title":"Arch Ophthalmol"},{"issue":"24","key":"ref_13","first-page":"1197","article-title":"Primary pituitary adenoma and the syndrome of the cavernous sinus: a clinical and anatomic study","volume":"1940","author":"Weinberger, L.M.; Adler, F.H.; Grant, F.C.","unstructured":"Weinberger, L.M., Adler, F.H. & Grant, F.C. Primary pituitary adenoma and the syndrome of the cavernous sinus: a clinical and anatomic study. Arch Ophthalmol 1940, 24: 1197-1205.","journal-title":"Arch Ophthalmol"},{"issue":"18","key":"ref_14","first-page":"319","article-title":"Syndrome of hypopituitarism","volume":"1949","author":"Sheehan, H.L.; Summers, V.R.","unstructured":"Sheehan, H.L. & Summers, V.R. Syndrome of hypopituitarism. Q J Med 1949, 18: 319-378.","journal-title":"Q J Med"},{"issue":"19","key":"ref_15","first-page":"28","article-title":"On two operative findings in space occupying intrasellar processes","volume":"1959","author":"Driesen, W.","unstructured":"Driesen, W. On two operative findings in space occupying intrasellar processes. Zbl Neurochir 1959, 19: 28-35.","journal-title":"Zbl Neurochir"},{"key":"ref_16","first-page":"2","article-title":"Hypopituitarism associated with intracranial aneurysms","volume":"1961","unstructured":"Van 't Hoff, W., Hornabrook, R.W. & Marrs, V. Hypopituitarism associated with intracranial aneurysms. Br Med J 1961, 2: 1190-1194.","journal-title":"Br Med J"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1227\/00006123-198205000-00011","article-title":"Reversible panhypopituitarism caused by a suprasellar aneurysm: the contribution of mass effect to pituitary dysfunction","volume":"10","author":"Verbalis, J.G.; Nelson, P.B.; Robinson, A.G.","year":"1982","unstructured":"Verbalis, J.G., Nelson, P.B. & Robinson, A.G. Reversible panhypopituitarism caused by a suprasellar aneurysm: the contribution of mass effect to pituitary dysfunction. J Neurosurg 1982, 10: 604-611.","journal-title":"J Neurosurg"},{"issue":"6","key":"ref_18","first-page":"829","article-title":"Large intracranial aneurysm producing panhypopituitarism and frontal lobe syndrome","volume":"1956","author":"Gallagher, P.G.; Dorsey, J.F.; Stefanini, M.; Lonney, J.M.","unstructured":"Gallagher, P.G., Dorsey, J.F., Stefanini, M. & Lonney, J.M. Large intracranial aneurysm producing panhypopituitarism and frontal lobe syndrome. Neurology (New York) 1956, 6: 829-837.","journal-title":"Neurology (New York)"},{"issue":"22","key":"ref_19","first-page":"304","article-title":"Endocrine manifestation of intracranial extrasellar lesions","volume":"1962","author":"Kahana, L.; Lebovicz, H.; Lusk, W.","unstructured":"Kahana, L., Lebovicz, H., Lusk, W. et al. Endocrine manifestation of intracranial extrasellar lesions. J Clin Endocrinol Metab 1962, 22: 304-324.","journal-title":"J Clin Endocrinol Metab"},{"issue":"229","key":"ref_20","first-page":"1473","article-title":"Suprasellar aneurysm: an unusual cause of hypopituitarism","volume":"1974","author":"Shantharam, V.V.; Clift, G.V.","unstructured":"Shantharam, V.V. & Clift, G.V. Suprasellar aneurysm: an unusual cause of hypopituitarism. JAMA 1974, 229: 1473.","journal-title":"JAMA"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1259\/0007-1285-38-454-721","article-title":"Some observations on the natural history of intracranial aneurysms","volume":"38","author":"Du Boulay, G.H.","year":"1965","unstructured":"Du Boulay, G.H. Some observations on the natural history of intracranial aneurysms. Br J Radiol 1965, 38: 721-757.","journal-title":"Br J Radiol"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1136\/jnnp.41.11.972","article-title":"Coincidental aneurysms with tumours of pituitary origin","volume":"41","author":"Jakubowski, J.; Kendall, B.","year":"1978","unstructured":"Jakubowski, J. & Kendall, B. Coincidental aneurysms with tumours of pituitary origin. J Neurol Neurosurg Psychiatry 1978, 41: 972-979.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"25","key":"ref_23","first-page":"219","article-title":"Report on the cooperative study of intracranial aneurysms","volume":"1966","author":"Locksley, H.B.","unstructured":"Locksley, H.B. Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section V. Part I. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the Cooperative study. J Neurosurg 1966, 25: 219-239.","edition":"and","journal-title":"J Neurosurg; Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the Cooperative study"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"291","DOI":"10.3171\/jns.1971.35.3.0291","article-title":"Surgical treatment ofmultiple aneurysms and of incidentally discovered unruptured aneurysms","volume":"35","author":"Moyes, P.D.","year":"1971","unstructured":"Moyes, P.D. Surgical treatment ofmultiple aneurysms and of incidentally discovered unruptured aneurysms. J Neurosurg 1971, 35: 291-295.","journal-title":"J Neurosurg"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/0090-3019(84)90200-3","article-title":"Coexistence of bilateral aneurysms of the internal carotid arteries and an arteriovenous malformation ofthe left frontal lobe","volume":"21","author":"Garza-Mercado, R.; Rangel, R.A.; Garza-Vazquez, J.F.","year":"1984","unstructured":"Garza-Mercado, R., Rangel, R.A. & Garza-Vazquez, J.F. Coexistence of bilateral aneurysms of the internal carotid arteries and an arteriovenous malformation ofthe left frontal lobe. Surg Neurol 1984, 21: 267-271.","journal-title":"Surg Neurol"},{"key":"ref_26","first-page":"209","article-title":"Vascular disease: hemorrhage","volume-title":"Magnetic Resonance Imaging of the Central Nervous System","author":"Norman, D.","year":"1988","unstructured":"Norman, D. Vascular disease: hemorrhage. In: BrandtZawadzki, M. & Norman, D. (eds) Magnetic Resonance Imaging of the Central Nervous System. Raven Press, New York, 1988, pp. 209-220."},{"key":"ref_27","first-page":"473","article-title":"Cerebrovascular anomalies","volume-title":"Magnetic Resonance Imaging","author":"Krishna, C.V.G.R.; Lee, S.H.","year":"1988","unstructured":"Krishna, C.V.G.R. & Lee, S.H. Cerebrovascular anomalies. In: Stark, D.S. & Bradley, W.G. (eds) Magnetic Resonance Imaging. C.V. 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