Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제26권2호
  • /
  • Pages.210-215
  • /
  • 2024
  • /
  • 2234-8565(pISSN)
  • /
  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Unilateral caudate infarct following pituitary adenoma resection

  • Xavier Wong-Achi (Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco) ;
  • Luis Rodriguez-Hernandez (Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco) ;
  • Jose Herrera-Castro (Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco) ;
  • Marcos Sangrador-Deitos (Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco) ;
  • Juan Luis Gomez-Amador (Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco) ;
  • Ulises Garcia-Gonzalez (Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco)
  • 투고 : 2023.08.03
  • 심사 : 2023.10.31
  • 발행 : 2024.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Cerebral ischemic complications after pituitary surgery are not frequently reported. Multiple mechanisms have been proposed, including vasospasm, and delayed cerebral ischemia resulting from postoperative subarachnoid bleeding. Given the unknown etiology of vasospasm following these situations, little is known about its prevention. Through a case report and bibliographic review, the authors warn about the importance of recognizing key signs postoperatively that could indicate increased risk for cerebral vasospasm and must be recognized in a timely manner, with appropriate treatment strategies implemented once these symptoms present.

키워드

참고문헌

  1. Alotaibi N, Lanzino G. Cerebral vasospasm following tumor resection. J Neurointerv Surg. 2013 Sep;5(5):413-8.
  2. Barrow D, Tindall G. Loss of vision after transsphenoidal surgery. Neurosurgery. 1990 Jul;27(1):60-8.
  3. Budnick HC, Tomlinson S, Savage J, Cohen-Gadol A. Symptomatic cerebral vasospasm after transsphenoidal tumor resection: Two case reports and systematic literature review. Cureus. 2020 May;12(5):e8171.
  4. Camp P, Paxton H, Buchan G, Gahbauer H. Vasospasm after trans-sphenoidal hypophysectomy. Neurosurgery. 1980 Oct;7(4):382-6.
  5. Chou SH. Subarachnoid hemorrhage. Continuum (Minneap Minn). 2021 Oct;27(5):1201-45.
  6. El Falougy H, Selmeciova P, Kubikova E, Haviarova Z. The variable origin of the recurrent artery of Heubner: An anatomical and morphometric study. Biomed Res Int. 2013;2013:873434.
  7. Elias PCL, Volpon M, Azevedo GG, Machado H, Goncalves GHM, Carlos Santos A, et al. Cerebral vasospasm following subarachnoid hemorrhage: A rare complication after transsphenoidal surgery for pituitary macroadenoma. Endocrinol Diabetes Metab Case Rep. 2023 Jan;2023(1):22-0334.
  8. Eseonu C, ReFaey K, Geocadin R, Quinones-Hinojosa A. Postoperative cerebral vasospasm following transsphenoidal pituitary adenoma surgery. World Neurosurg. 2016 Aug;92:7-14.
  9. Estakhr M, Ghotbi Z, Borhani-Haghighi A, Tarpley J, Bavarsad Shahripour R. Symptomatic cerebral vasospasm after transsphenoidal adenoma resection of the pituitary. Journal of Neurology Research. 2022;12(3):132-8.
  10. Gupta R, Sharma A, Vaishya R, Tandon M. Ischemic complications after pituitary surgery: A report of two cases. J Neurol Surg A Cent Eur Neurosurg. 2013 Dec;74 Suppl 1:e119-23.
  11. Kumral E, Evyapan D, Balkir K. Acute caudate vascular lesions. Stroke. 1999;30(1):100-8.
  12. Oh S, Lee J, Kim S, Park S. A case of strategic infarct dementia in left caudate nucleus. Ann Gen Psychiatry. 2006;5(1):S282.
  13. Puri A, Zada G, Zarzour H, Laws E, Frerichs K. Cerebral vasospasm after transsphenoidal resection of pituitary macroadenomas: Report of 3 cases and review of the literature. Neurosurgery. 2012;71(1):173-80; discussion 180-1.
  14. Siler D, Rosen K, Bowden S, Powers A, Liu J, Dogan A, et al. Delayed cerebral ischemia associated with surgery for pituitary macroadenomas that express elevated levels of PACAP. Brain Hemorrhages. 2023;4(1):1-5.