Document Detail


Overview of vascular complications of pituitary surgery with special emphasis on unexpected abnormality.
MedLine Citation:
PMID:  19728100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arterial bleeding during transsphenoidal surgery for pituitary adenoma is known complication. This usually happens due to rupture of intracavernous carotid or delayed hemorrhage due to the carotico-cavernous fistula and/or pseudoaneurysm. There is also evidence that cavernous carotid aneurysms may occur with pituitary tumors, yet largest series failed to demonstrate any link between aneurysm formation and pituitary tumors. Usually such an aneurysm rupture results in formation of carotico-cavernous fistula. However, pituitary apoplexy and even epistaxis have been reported. In this paper we present a patient with recurrent pituitary adenoma and cavernous carotid artery aneurysm, which caused significant hemorrhage during the surgery. Although retrospective analysis of MRI disclosed that the patient had the aneurysm before the first surgery, it remained silent until the second operation. Therefore neurosurgeons should be very susceptive to any signal changes on preoperative MR images, especially in recurrent cases, where normal anatomical relations are disturbed by fibrotic tissue. Also, we reviewed the vascular complication of pituitary surgery based on the literature.
Authors:
Mustafa Berker; Kamran Aghayev; Isil Saatci; Selçuk Palaoğlu; Metin Onerci
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pituitary     Volume:  13     ISSN:  1573-7403     ISO Abbreviation:  Pituitary     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-19     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9814578     Medline TA:  Pituitary     Country:  United States    
Other Details:
Languages:  eng     Pagination:  160-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Hacettepe School of Medicine, Ankara, Turkey. mberker@hacettepe.edu.tr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Carotid Artery Injuries / etiology*
Female
Humans
Neurosurgical Procedures / adverse effects*
Pituitary Neoplasms / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The surgical approach to management of pediatric obesity: when to refer and what to expect.
Next Document:  Categorizing temporal patterns of arrest in a cohort of adults with serious mental illness.