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American Journal of Roentgenology, Vol 104, 162-167, Copyright © 1968 by American Roentgen Ray Society

THE ANGIOGRAPHIC DEMONSTRATION AND SURGICAL IMPLICATIONS OF IMBEDDING OF THE CAROTID SYPHONS BY A LARGE PITUITARY ADENOMA

BERNARD S. EPSTEIN M.D.1 and JOSEPH A. EPSTEIN M.D.1

1 From the Department of Radiology and the Division of Neurosurgery, The Long Island Jewish Hospital, New Hyde Park, New York

The distance between the carotid syphons usually is increased when there is lateral extension of a pituitary adenoma. Infrequently this distance is either diminished or remains normal. When this is associated with gross bone change in the sphenoid, there is a possibility that the tumor has enveloped the carotid arteries. Surgical evacuation of the intrasellar portion of such neoplasms must be performed with full appreciation of the medial position of the intracavernous portions of the internal carotid arteries.


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Copyright © 1968 by the American Roentgen Ray Society.