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颅内动脉瘤和垂体腺瘤共存的情况不常见.经蝶窦切除垂体腺瘤前,有人推荐行双侧颈动脉造影以了解颈内动脉和垂体腺瘤间相互关系并确定是否存在血管异常和动脉瘤.已有一些报告术中颈内动脉瘤破裂和海绵窦大量出血以及随之发生颈内动脉——海绵窦瘘.本文报告1例垂体腺瘤和前交通动脉瘤共存,经蝶窦切除垂体瘤术中动脉瘤破裂.作者讨论了经蝶窦术中特别是当肿瘤向鞍上发展的情
The coexistence of intracranial aneurysms and pituitary adenomas is uncommon. Before transsphenoidal excision of pituitary adenomas, it was recommended to perform bilateral carotid angiography in order to understand the relationship between internal carotid artery and pituitary adenoma and determine whether there are vascular abnormalities and Aneurysms. There have been reports of intraoperative rupture of internal carotid artery aneurysms and massive bleeding of the cavernous sinus followed by internal carotid artery - cavernous sinus fistula. This article reports one case of pituitary adenoma and anterior communicating artery aneurysm coexisting transsphenoidal sinusectomy. Intraoperative aneurysm rupture in pituitary tumors. The authors discuss the development of transsphenoidal sinus surgery, especially when the tumor develops on the saddle.