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P435: ENDOSCOPIC ENDONASAL RESECTION OF A LEFT PITUITARY CORTICOTROPH MICROADENOMA IN A PATIENT WITH A CAROTICO-CLINOID FORAMEN
Julie Rosuel; Julien Boetto, MD, PhD; CHU Montpellier

We report a 35-year-old woman with Cushing’s disease. Preoperative bone CT revealed bilateral carotico-clinoid foramina encasing the ICA. Endoscopic endonasal resection was performed safely. This case highlights the crucial role of detailed preoperative bony imaging to anticipate anatomical variants, as unrecognized carotico-clinoid foramina can expose patients to major intraoperative risks, including ICA injury.

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