Subarachnoid hemorrhage, midbrain hemorrhage and thalamic infarction following transsphenoidal removal of a pituitary adenoma. A case report.
We report a rare case of complication following transphenoidal resection of a nonfunctioning pituitary adenoma in which subarachnoid hemorrhage, midbrain hemorrhage and thalamic infarction occurred. Possible pathologic mechanisms are discussed and the need for clinical awareness of this rare complication is stressed.
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
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T
Kuroyanagi
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Kobayashi
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T
Takemae
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S
Kobayashi
D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D002544:Cerebral Infarction / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008636:Mesencephalon / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging*; D013786:Thalamic Diseases / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed