Cerebral vasospasm after transsphenoidal surgery for pituitary adenoma: Case report and review of the literature.

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Cerebral vasospasm after transsphenoidal surgery for pituitary adenoma: Case report and review of the literature.

Neurochirurgie. 2017 Mar;63(1):25-27

Authors: Bougaci N, Paquis P

Abstract
INTRODUCTION: Cerebral vasospasm (CVS) is a rare complication of transsphenoidal surgery for pituitary adenomas.
CASE REPORT: The authors describe a symptomatic cerebral ischemia due to an internal carotid, left middle cerebral artery and anterior cerebral artery vasospasm in a patient undergoing transsphenoidal surgery for a pituitary macro adenoma. The patient was successfully treated by an endovascular balloon angioplasty.
CONCLUSION: This issue should be taken into account, even when rare, in every patient who has surgery for a pituitary tumor, particularly when it concerns a large macro adenoma with suprasellar extension. Special precautions must be taken to avoid this rare complication.

PMID: 28284449 [PubMed - indexed for MEDLINE]

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