title: Rostral basilar artery syndrome following transsphenoidal surgery--a report of four cases.
abstract: Vascular complications can arise from transsphenoidal surgery (TSS) and have a high incidence of mortality and serious morbidity. Though haemorrhage from the injury to internal carotid is well know, ischaemic complication after TSS is rare. We report a series of four patients who remained unconscious after TSS, and on postoperative imaging infarcts were seen distributed in the rostral basilar artery. The possible mechanism of this complication is described.
authors.affiliation: Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, 560029, India. neurodhaval@rediffmail.com
authors.forename: Dhaval
authors.initials: D
authors.lastname: Shukla
authors.forename: Rajeev
authors.initials: R
authors.lastname: Sharma
authors.forename: Bhagavatula Indira
authors.initials: BI
authors.lastname: Devi
authors.forename: Somanna
authors.initials: S
authors.lastname: Sampath
mesh_terms: D000328:Adult; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D001921:Brain / Q000098:blood supply / Q000473:pathology; D002533:Cerebral Angiography / Q000379:methods; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D008297:Male; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D013100:Sphenoid Bone / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014474:Unconsciousness / Q000209:etiology*