A rare vascular complication of transsphenoidal surgery.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23132375.
- Also identified by DOI 10.1007/s00701-012-1542-7.
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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.
Medical subject headings
- Adenoma
- Anterior Cerebral Artery
- Growth Hormone-Secreting Pituitary Adenoma
- Intracranial Thrombosis
- Postoperative Complications
- Sphenoid Sinus