case_images: PMC10148168_01
case_images: PMC10148168_02
case_images: A,B,C) T2 coronal view, axial view of T1 contrast and T2 sagittal view respectively of the patient s brain MRI scan demonstrating a sellar space-occupying lesion with moderate contrast enhancement (green block arrow in B) and a hypointense periphery (red line arrow in A)
case_images: PAMJ-44-60-g001.jpg
case_images: PMC10148168_02_PAMJ-44-60-g001.jpg
case_images: F1
case_images: Diagnostic assessment: brain magnetic resonance imaging (MRI) done prior to presentation showed a sellar space-occupying lesion with homogenous contrast enhancement and a hypointense periphery (Figure 1 A,B,C).
case_images: rotated sagittal views of arterial phase on CT angiogram demonstrating the left posterior communicating artery aneurysm (blue line arrow)
case_images: PAMJ-44-60-g002.jpg
case_images: PMC10148168_02_PAMJ-44-60-g002.jpg
case_images: F2
case_images: Investigation with a 3-dementional computed tomography (CT) angiogram revealed an adjacent saccular left posterior communicating aneurysm (Figure 2 A,B).
case_images: at surgery; aneurysm immediately before and after clip application; A) oculomotor nerve (thin arrow); left PCOM aneurysm (thick arrow); B) application of temporal clip on left ICA for vascular control; C) application of permanent clip across the neck of left PCOM aneurysm
case_images: PAMJ-44-60-g003.jpg
case_images: PMC10148168_02_PAMJ-44-60-g003.jpg
case_images: F3