Document Detail

Traumatic aneurysm and carotid-cavernous fistula following transsphenoidal approach to a pituitary adenoma: treatment by transcranial operation.
MedLine Citation:
PMID:  10616589     Owner:  NLM     Status:  MEDLINE    
A 39-year old woman presented with galactorrhoea. Magnetic resonance imaging revealed an intrasellar tumour. During transsphenoidal surgery to remove the tumour, arterial bleeding occurred from the right internal carotid artery (ICA). The bleeding was stopped by packing with Surgicel. The operation was discontinued at this point and the intrasellar tumour was not removed. Four-vessel angiography was performed on the third day after the operation, revealing a traumatic (false) ICA aneurysm and a low-flow carotid-cavernous fistula (CCF) on the right side. The patient did not have any neurological deficit, and was re-operated on transcranially. Both the traumatic ICA aneurysm and the CCF were excluded from the circulation by a Sundt-Kees cuff clip. The patency of the ICA was preserved.
V V Dolenc; M Lipovsek; S Slokan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  13     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  1999 Apr 
Date Detail:
Created Date:  2000-01-24     Completed Date:  2000-01-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  185-8     Citation Subset:  IM    
Department of Neurosurgery, University Hospital Centre, Ljubljana, Slovenia.
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MeSH Terms
Adenoma / complications,  surgery*
Carotid Artery, Internal
Carotid-Cavernous Sinus Fistula / etiology*
Galactorrhea / etiology
Intracranial Aneurysm / etiology*,  surgery
Magnetic Resonance Imaging / methods
Pituitary Neoplasms / complications,  surgery*
Tomography, X-Ray Computed / methods

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