Fatal epistaxis caused by rupture of an intratumoral aneurysm enclosed by a large prolactinoma--case report.

@article{Imamura1998FatalEC,
  title={Fatal epistaxis caused by rupture of an intratumoral aneurysm enclosed by a large prolactinoma--case report.},
  author={Junichi Imamura and T Okuzono and Yoshiko Okuzono},
  journal={Neurologia medico-chirurgica},
  year={1998},
  volume={38 10},
  pages={654-6}
}
A 72-year-old female presented with episodes of epistaxis. Neuroimaging demonstrated a large prolactinoma totally enclosing a large intracavernous aneurysm of the internal carotid artery. Adjacent bony structures were eroded and destroyed by tumor invasion and extension. Rupture of the intratumoral aneurysm caused fatal epistaxis rather than subarachnoid hemorrhage before surgery. Intratumoral aneurysm is rare and epistaxis caused by rupture of it is extremely rare. Lack of bony protection… CONTINUE READING