title: Artery of Percheron infarction after endoscopic pituitary surgery.
abstract: Infarction in the artery of Percheron territory is a rare phenomenon in which occlusion of an unpaired perforating artery arising from the P1 segment on one side results in infarcts in the bilateral paramedian thalami with or without midbrain infarcts. We describe the case of a 40-year-old male who developed this complication following re-exploratory trans-sphenoidal surgery for a pituitary adenoma. In this first report of its kind in endoscopic pituitary surgery, the pathogenesis and clinico-radiological features of this rare vascular event are discussed.
authors: Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, 560066, India.
authors: Saritha
authors: S
authors: Aryan
authors: Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, 560066, India. sumit.thakar@gmail.com.
authors: Sumit
authors: S
authors: Thakar
authors: Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, 560066, India.
authors: A S
authors: AS
authors: Hegde
mesh_terms: D000328:Adult; D001158:Arteries / Q000473:pathology*; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects*; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D010902:Pituitary Gland / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology*; D013788:Thalamus / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000473:pathology
keywords: Artery of Percheron; Endoscopic trans-sphenoidal surgery; Infarct; Pituitary adenoma