{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T15:02:05Z","timestamp":1774537325849,"version":"3.50.1"},"reference-count":27,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Intrasellar kissing carotid arteries are a rare variant in which bilateral internal carotid arteries run very near each other at their cavernous sinus portion. We encountered a woman with the pituitary gland mimicking a pituitary microadenoma because the pituitary gland was compressed bilaterally by intrasellar kissing carotid arteries.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 61-year-old woman with a chronic headache underwent magnetic resonance imaging, which revealed a sellar mass measuring 10.2 mm in height, 8.2 mm in length, and 4.0 mm in width at the midintercarotid level. Blood levels of all pituitary and target-organ hormones were within normal range. The height and superior convex shape of the sellar mass suggested that it was a nonfunctioning microadenoma, which was monitored over the past 16 years. A recent three-dimensional reconstruction of magnetic resonance angiography clearly showed that the pituitary gland was squeezed upward, compressed bilaterally, and extended superiorly by intrasellar kissing carotid arteries.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The pituitary gland can be squeezed upward by intrasellar kissing carotid arteries and mimic pituitary tumor.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_559_2024","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T07:39:45Z","timestamp":1728632385000},"page":"372","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A pituitary gland squeezed upward by intrasellar kissing carotid arteries: Mimicking a pituitary microadenoma"],"prefix":"10.25259","volume":"15","author":[{"given":"Eri","family":"Inoue","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kagoshima University, Kagoshima, Japan"},{"name":"Department of Neurosurgery, Izumi Regional Hospital, Akune, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shingo","family":"Fujio","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagoshima University, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Hosoyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagoshima University, Kagoshima, Japan"},{"name":"Department of Neurosurgery, Izumi Regional Hospital, Akune, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichiro","family":"Yoshimura","sequence":"additional","affiliation":[{"name":"Department of Clinical Radiology, Izumi Regional Hospital, Akune, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FM","family":"Moinuddin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic Hospital, Rochester, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Hanaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagoshima University, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Arita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagoshima University, Kagoshima, Japan"},{"name":"Department of Neurosurgery, Izumi Regional Hospital, Akune, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"10.25259\/SNI_559_2024\/ref-1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.3171\/jns.1968.28.2.0093","article-title":"Anatomical variations in the pituitary gland and adjacent structures in 225 human autopsy cases","volume":"28","author":"Bergland","year":"1968","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_559_2024\/ref-2","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1007\/s11102-021-01150-7","article-title":"Normative data for pituitary size and volume in the general population between 50 and 66 years","volume":"24","author":"Berntsen","year":"2021","journal-title":"Pituitary"},{"key":"10.25259\/SNI_559_2024\/ref-3","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1227\/01.neu.0000317321.79106.37","article-title":"Microsurgical anatomy of the diaphragma sellae and its role in directing the pattern of growth of pituitary adenomas","volume":"62","author":"Campero","year":"2008","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_559_2024\/ref-4","doi-asserted-by":"crossref","first-page":"e759","DOI":"10.1016\/j.wneu.2014.09.021","article-title":"Endoscopic, endonasal variability in the anatomy of the internal carotid artery","volume":"82","author":"Cebula","year":"2014","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_559_2024\/ref-5","doi-asserted-by":"crossref","first-page":"3009","DOI":"10.1210\/jcem.86.7.7649","article-title":"Normal pituitary hypertrophy as a frequent cause of pituitary incidentaloma: A follow-up study","volume":"86","author":"Chanson","year":"2001","journal-title":"J Clin Endocrinol Metab"},{"key":"10.25259\/SNI_559_2024\/ref-6","doi-asserted-by":"crossref","first-page":"81","DOI":"10.2535\/ofaj1936.76.2-3_81","article-title":"Height of normal pituitary gland on MRI: Differences between age groups and sexes","volume":"76","author":"Denk","year":"1999","journal-title":"Okajimas Folia Anat Jpn"},{"key":"10.25259\/SNI_559_2024\/ref-7","first-page":"1295","article-title":"MR assessment of pituitary gland morphology in healthy volunteers: Age-and gender-related differences","volume":"13","author":"Doraiswamy","year":"1992","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_559_2024\/ref-8","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1148\/radiology.174.3.2305049","article-title":"Pituitary gland: MR imaging of physiologic hypertrophy in adolescence","volume":"174","author":"Elster","year":"1990","journal-title":"Radiology"},{"key":"10.25259\/SNI_559_2024\/ref-9","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3171\/jns.1979.50.1.0031","article-title":"Neurovascular relationships of the sphenoid sinus. A microsurgical study","volume":"50","author":"Fujii","year":"1979","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_559_2024\/ref-10","first-page":"23","article-title":"An anatomical study of intercarotid distances in the sellar region with a surgical perspective","volume":"26","author":"Gupta","year":"2009","journal-title":"Braz J Morphol Sci"},{"key":"10.25259\/SNI_559_2024\/ref-11","first-page":"261","article-title":"Pituitary height on magnetic resonance imaging observation of age and sex related changes","volume":"58","author":"Ikram","year":"2008","journal-title":"J Pak Med Assoc"},{"key":"10.25259\/SNI_559_2024\/ref-12","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1054\/jocn.2001.0973","article-title":"Morphological changes on MR imaging of the normal pituitary gland related to age and sex: main emphasis on pubescent females","volume":"9","author":"Kato","year":"2002","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_559_2024\/ref-13","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1093\/neurosurgery\/23.CN_suppl_1.401","article-title":"Complications of trans-sphenoidal surgery","volume":"23","author":"Laws","year":"1976","journal-title":"Clin Neurosurg"},{"key":"10.25259\/SNI_559_2024\/ref-14","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1210\/jcem-71-2-505","article-title":"In vivo assessment of pituitary gland volume with magnetic resonance imaging: the effect of age","volume":"71","author":"Lurie","year":"1990","journal-title":"J Clin Endocrinol Metab"},{"key":"10.25259\/SNI_559_2024\/ref-15","doi-asserted-by":"crossref","first-page":"e711","DOI":"10.1016\/j.wneu.2019.09.145","article-title":"Neurosurgical anatomy of the internal carotid artery: Magnetic resonance imaging study of the Sellar region","volume":"133","author":"Newman","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_559_2024\/ref-16","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1590\/S0004-282X2007000200034","article-title":"Intracranial intrasellar kissing carotid arteries: Case report","volume":"65","author":"Pereira Filho Ade","year":"2007","journal-title":"Arq Neuropsiquiatr"},{"key":"10.25259\/SNI_559_2024\/ref-17","doi-asserted-by":"crossref","first-page":"288","DOI":"10.3171\/jns.1975.43.3.0288","article-title":"Microsurgical anatomy of the sellar region","volume":"43","author":"Renn","year":"1975","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_559_2024\/ref-18","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.aace.2023.11.003","article-title":"Kissing carotid arteries causing male hypogonadotropic hypogonadism","volume":"10","author":"Saberi","year":"2024","journal-title":"AACE Clin Case Rep"},{"key":"10.25259\/SNI_559_2024\/ref-19","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s11102-012-0393-9","article-title":"Unusual cause of primary amenorrhea due to kissing internal carotid arteries","volume":"15","author":"Sahin","year":"2012","journal-title":"Pituitary"},{"key":"10.25259\/SNI_559_2024\/ref-20","doi-asserted-by":"crossref","first-page":"295","DOI":"10.7888\/juoeh.13.295","article-title":"MRI of normal pituitary glands and their surrounding structures","volume":"13","author":"Sato","year":"1991","journal-title":"J UOEH"},{"key":"10.25259\/SNI_559_2024\/ref-21","first-page":"e54093","article-title":"Role of magnetic resonance imaging in the evaluation of age-and gender-related changes in the dimensions of the pituitary gland in the Indian population","volume":"16","author":"Shajil","year":"2024","journal-title":"Cureus"},{"key":"10.25259\/SNI_559_2024\/ref-22","doi-asserted-by":"crossref","first-page":"605","DOI":"10.4103\/ijem.IJEM_199_18","article-title":"Study of pituitary morphometry using MRI in Indian subjects","volume":"22","author":"Singh","year":"2018","journal-title":"Indian J Endocrinol Metab"},{"key":"10.25259\/SNI_559_2024\/ref-23","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00004728-199001000-00006","article-title":"Height of normal pituitary gland on MR imaging: Age and sex differentiation","volume":"14","author":"Suzuki","year":"1990","journal-title":"J Comput Assist Tomogr"},{"key":"10.25259\/SNI_559_2024\/ref-24","first-page":"551","article-title":"MR height of the pituitary gland as a function of age and sex: Especially physiological hypertrophy in adolescence and in climacterium","volume":"18","author":"Tsunoda","year":"1997","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_559_2024\/ref-25","first-page":"1","article-title":"MRI Evaluation of size and shape of normal pituitary gland: Age and sex related changes","volume":"11","author":"Yadav","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"10.25259\/SNI_559_2024\/ref-26","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.surneu.2007.06.094","article-title":"Clinical importance of the basal cavernous sinuses and cavernous carotid arteries relative to the pituitary gland and macroadenomas: Quantitative analysis of the complete anatomy","volume":"70","author":"Yilmazlar","year":"2008","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_559_2024\/ref-27","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.3171\/2010.11.JNS10768","article-title":"The neurosurgical anatomy of the sphenoid sinus and sellar floor in endoscopic transsphenoidal surgery","volume":"114","author":"Zada","year":"2011","journal-title":"J Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-pituitary-gland-squeezed-upward-by-intrasellar-kissing-carotid-arteries-mimicking-a-pituitary-microadenoma\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-pituitary-gland-squeezed-upward-by-intrasellar-kissing-carotid-arteries-mimicking-a-pituitary-microadenoma\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T07:40:00Z","timestamp":1728632400000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-pituitary-gland-squeezed-upward-by-intrasellar-kissing-carotid-arteries-mimicking-a-pituitary-microadenoma\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,11]]},"references-count":27,"alternative-id":["10.25259\/SNI_559_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_559_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10,11]]},"article-number":"372"}}