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KMID : 0980720120310020249
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Keimyung Medical Journal
2012 Volume.31 No. 2 p.249 ~ p.253
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Subarachnoid Hemorrhage following Transsphenoidal Pituitary Surgery: A Case of Complication Unexpected but Preventable
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Kim Eal-Maan
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Abstract
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Several complications may develop following transsphenoidal surgery for the sellar and suprasellar pathologies. But the occurrence of the subarachnoid hemorrhage and resulting brain infarction after pituitary surgery has been seldom reported. The author reports a case of subarachnoid hemorrhage after pituitary adenomectomy via transsphenoidal approach. A 65-year-old man presented with convulsion and visual decline in delayed fashion after uneventful recovery from successful pituitary surgery for his large non-functioning adenoma. The pathophysiology and the surgical tactics for prevention of this rare complication of the pituitary adenoma surgery, so called postoperative ’pituitary apoplexy’, will be described.
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KEYWORD
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Complication, Pituitary ademona, Subarachnoid hemorrhage, Transsphenoidal surgery, Tumor bleeding
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