Journal of Neurosciences in Rural Practice

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Year : 2019  |  Volume : 10  |  Issue : 2  |  Page : 323  

Aneurysm masquerading as a pure seller lesion

Department of Neurosurgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal

Date of Web Publication25-Mar-2019

Correspondence Address:
Sunil Munakomi
Department of Neurosurgery, Nobel Medical College and Teaching Hospital, Biratnagar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jnrp.jnrp_238_18

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How to cite this article:
Munakomi S. Aneurysm masquerading as a pure seller lesion. J Neurosci Rural Pract 2019;10:323

How to cite this URL:
Munakomi S. Aneurysm masquerading as a pure seller lesion. J Neurosci Rural Pract [serial online] 2019 [cited 2019 May 19];10:323. Available from:

A 75-year-old patient presented to our clinic with a history of sudden severe headache for the last 1 day. He had no significant past medical or surgical illnesses. His neurological examination was significant only for the presence of subtle neck rigidity. His brain radio-imaging revealed a sellar lesion [Figure 1]. However, on additional vascular imaging, it turned out to be a probable superior hypophyseal artery aneurysm masquerading as a pure sellar lesion [Figure 2]. The diagnosis was explained to the patient party and the management plans were detailed. However, the relatives opted to take the patient home.
Figure 1: Magnetic resonance images revealing a pure intrasellar lesion

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Figure 2: Magnetic resonance angiography revealing an aneurysm at the cavernous segment of internal carotid artery aneurysm

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Aneurysm presenting as a pure sellar lesion is a rare entity.[1] It is therefore prudent to keep it as a differential diagnosis in any sellar pathology and evaluate it through angiography, thereby preventing catastrophic complications during their surgical management.[2]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

   References Top

Kayath MJ, Lengyel AM, Nogueira R, Tella Júnior O, Czepielewski MA. Giant aneurysms of the sellar region simulating pituitary adenomas: A diagnosis to be considered. J Endocrinol Invest 1991;14:975-9.  Back to cited text no. 1
Ostrowski K, Bonicki W, Sadowski Z, Wisławski J. Internal carotid artery aneurysm in the sella turcica area simulating pituitary tumor. Neurol Neurochir Pol 1984;18:187-90.  Back to cited text no. 2


  [Figure 1], [Figure 2]


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