Document Detail

Brain stem haemorrhage during transsphenoidal surgery. Possible risk of the manoeuvre of increasing the endexpiratory pressure in a case of pituitary adenoma associated with dural arteriovenous malformation. Case report.
MedLine Citation:
PMID:  8122549     Owner:  NLM     Status:  MEDLINE    
The authors report a case of pituitary adenoma associated with dural arteriovenous malformation (AVM), which caused brain stem haemorrhage during transsphenoidal surgery. The manoeuvre of increasing the endexpiratory pressure in order to push the suprasellar component of the adenoma down to the sella turcica could be the reason of this bleeding. The authors therefore recommend that in cases of such a combination any manoeuvres which are likely to increase the intracranial venous pressure or otherwise affect the intracranial pressure, are avoided. The dural AVM spontaneously regressed after haemorrhage.
K Furuya; H Segawa; Y Shiokawa; K Ide; K Sano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  125     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  1993  
Date Detail:
Created Date:  1994-04-07     Completed Date:  1994-04-07     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  188-91     Citation Subset:  IM    
Department of Neurosurgery, Fuji Brain Institute and Hospital, Shizuoka, Japan.
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MeSH Terms
Adenoma / diagnosis,  surgery*
Brain Stem / pathology,  surgery*
Cerebral Angiography
Cerebral Hemorrhage / diagnosis,  surgery*
Dura Mater / blood supply*
Intracranial Arteriovenous Malformations / diagnosis,  surgery*
Intracranial Pressure / physiology*
Magnetic Resonance Imaging
Pituitary Neoplasms / diagnosis,  surgery*
Pons / pathology,  surgery
Postoperative Complications / diagnosis,  surgery*
Sphenoid Bone / surgery
Tomography, X-Ray Computed

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