Recovery of vision after transcranial decompression of pituitary apoplexy characterized by third ventricular hemorrhage.
The authors present a case of pituitary apoplexy characterized by massive third ventricular hemorrhage. This rare complication, which caused total blindness in the patient, a 67-year-old man, was treated with transcranial decompression of the pituitary tumor and removal of a blood clot from the third ventricle. After surgery, the patient totally recovered his vision. To the best of our knowledge, this is the first case of a patient with pituitary apoplexy that ruptured into the third ventricle (diagnosed by imaging studies) who was treated by emergency transcranial decompression.
Taşdemiroğlu
E
E
Department of Neurosurgery, University of Cincinnati College of Medicine, Ohio.
Zuccarello
M
M
Tew
J M
JM
D000236:Adenoma / Q000503:physiopathology / Q000601:surgery; D000368:Aged; D001766:Blindness / Q000503:physiopathology / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000503:physiopathology / Q000601:surgery*; D002552:Cerebral Ventricles / Q000503:physiopathology / Q000601:surgery*; D003399:Craniotomy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009408:Nerve Compression Syndromes / Q000503:physiopathology / Q000601:surgery; D009460:Neurologic Examination; D009900:Optic Nerve / Q000503:physiopathology; D009901:Optic Nerve Diseases / Q000503:physiopathology / Q000601:surgery; D010899:Pituitary Apoplexy / Q000503:physiopathology / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy; D014792:Visual Acuity / Q000502:physiology*