A rare vascular complication of transsphenoidal surgery.
Acta Neurochir (Wien)
; 155(1): 131-4; discussion 134, 2013 Jan.
Article
en En
| MEDLINE
| ID: mdl-23132375
ABSTRACT
We report a rare case of anterior cerebral artery (ACA) thrombosis following transsphenoidal surgery in a case of growth hormone secreting pituitary macroadenoma. During the surgery, there was arachnoid breach with cerebrospinal fluid (CSF) leak. Post operatively, she became blind in both eyes for which re-exploration was done. A computed tomographic (CT) scan 16 hours after surgery showed a large tumor bed haematoma which was explored transcranially. During surgery, the right A1 was thrombosed while the ICA and middle cerebral artery (MCA) were patent as confirmed by post-operative magnetic resonance imaging (MRI). However, she died on the second post-operative day. ACA thrombosis following transsphenoidal surgery has not been reported before. A review of literature and possible mechanism of this complication has been discussed.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Seno Esfenoidal
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Adenoma
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Arteria Cerebral Anterior
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Trombosis Intracraneal
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Adenoma Hipofisario Secretor de Hormona del Crecimiento
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
Acta Neurochir (Wien)
Año:
2013
Tipo del documento:
Article
País de afiliación:
India