Acta Neurochirurgica

, Volume 161, Issue 1, pp 197–201 | Cite as

Clipping of a superior hypophyseal artery aneurysm during endoscopic transnasal removal of a Rathke cleft cyst: a case report

  • Carlo SerraEmail author
  • Martina Sebök
  • Lukas Widmer
  • Marian Christoph Neidert
  • Luca Regli
Case Report - Vascular Neurosurgery - Aneurysm
Part of the following topical collections:
  1. Vascular Neurosurgery – Aneurysm


The concomitant presence of an aneurysm in contact with a sellar lesion usually contraindicates a transsphenoidal approach (TSS). Clipping of an intracranial aneurysm is however possible in highly selected cases also through an endoscopic TSS approach, as long as the basic principles of cerebrovascular surgery are respected. We report thus on a case of a patient harboring a Rathke cleft cyst (RCC) and an aneurysm of the carotid artery (ICA) in close contact with the RCC. The anatomical characteristics of both lesions warranted an endoscopic TSS for removal of the RCC and clipping of the aneurysm during the same approach.


Transsphenoidal Rathke’cyst Brain aneurysm Clipping 


Supplementary material

701_2018_3728_MOESM1_ESM.mp4 (178.5 mb)
ESM 1 (MP4 182,821 kb)


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Carlo Serra
    • 1
    Email author
  • Martina Sebök
    • 1
  • Lukas Widmer
    • 2
  • Marian Christoph Neidert
    • 1
  • Luca Regli
    • 1
  1. 1.Department of Neurosurgery, Clinical Neuroscience Center, University Hospital of ZürichUniversity of ZürichZürichSwitzerland
  2. 2.Department of Neuroradiology, Clinical Neuroscience Center, University Hospital of ZürichUniversity of ZürichZürichSwitzerland

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