Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Kurschel, S; Leber, KA; Scarpatetti, M; Roll, P.
Rare fatal vascular complication of transsphenoidal surgery.
ACTA NEUROCHIR. 2005; 147(3): 321-325.
Doi: 10.1007/s00701-004-0442-x
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Kurschel-Lackner Senta
- Co-Autor*innen der Med Uni Graz
- Leber Klaus
- Roll Peter
- Scarpatetti Michael
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- Abstract:
- We report the case of a 61-year-old man, who underwent transsphenoidal surgery for a pituitary macroadenoma. The presence of tough fibrous septa dividing the tumour permitted only a partial resection. Progressive loss of consciousness soon after surgery occurred, an emergency CT scan showed no evidence of haemorrhage. Twenty hours later, MRI revealed compression of both internal carotid arteries with arrest of arterial flow resulting in stroke by an enlarged haemorrhagic mass consistent with a pituitary apoplexy. On the second postoperative day, the patient died as a result of this extensive stroke. The mechanisms of this rare complication after transsphenoidal surgery are theorized and the sensitivity of imaging methods is discussed.
- Find related publications in this database (using NLM MeSH Indexing)
- Adenoma - blood supply
- Carotid Artery Injuries - etiology
- Carotid Artery, Internal - pathology
- Cerebral Infarction - etiology
- Cerebrovascular Disorders - etiology
- Fatal Outcome - etiology
- Humans - etiology
- Hypotension - diagnosis
- Iatrogenic Disease - prevention and control
- Magnetic Resonance Imaging - prevention and control
- Male - prevention and control
- Middle Aged - prevention and control
- Monitoring, Physiologic - standards
- Neurosurgical Procedures - adverse effects
- Pituitary Apoplexy - complications
- Pituitary Gland - blood supply
- Pituitary Neoplasms - blood supply
- Reoperation - blood supply
- Sella Turcica - pathology
- Sphenoid Bone - pathology
- Tomography, X-Ray Computed - pathology
- Find related publications in this database (Keywords)
- transsphenoidal surgery
- complications
- cerebrovascular accident
- pituitary adenoma