Rostral basilar artery syndrome following transsphenoidal surgery-a report of four cases

被引:1
作者
Shukla, Dhaval [1 ]
Sharma, Rajeev [1 ]
Devi, Bhagavatula Indira [1 ]
Sampath, Somanna [1 ]
机构
[1] Natl Inst Mental Hlth & Neurosci NIMHANS, Dept Neurosurg, Bangalore 560029, Karnataka, India
关键词
Midbrain infarct; Thalamic infarct; Rostral basilar artery syndrome; Transsphenoidal surgery; COMPLICATIONS;
D O I
10.1007/s00701-013-1698-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:1633 / 1636
页数:4
相关论文
共 8 条
[1]  
Bhat DI, 2012, ACTA NEUROCHIR WIEN
[2]   Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas [J].
Cappabianca, P ;
Cavallo, LM ;
Colao, A ;
De Divitiis, E .
JOURNAL OF NEUROSURGERY, 2002, 97 (02) :293-298
[3]   Hemorrhagic vascular complications of endoscopic transsphenoidal surgery [J].
Cavallo, LM ;
Briganti, F ;
Cappabianca, P ;
Maiuri, F ;
Valente, V ;
Tortora, F ;
Volpe, A ;
Messina, A ;
Elefante, A ;
de Divitiis, E .
MINIMALLY INVASIVE NEUROSURGERY, 2004, 47 (03) :145-150
[4]   Complications of transsphenoidal surgery: Results of a national survey, review of the literature, and personal experience [J].
Ciric, I ;
Ragin, A ;
Baumgartner, C ;
Pierce, D .
NEUROSURGERY, 1997, 40 (02) :225-236
[5]  
Laws E R Jr, 1999, Pituitary, V2, P163
[6]   THE ROSTRAL BASILAR ARTERY SYNDROME - DIAGNOSIS, ETIOLOGY, PROGNOSIS [J].
MEHLER, MF .
NEUROLOGY, 1989, 39 (01) :9-16
[7]  
Oskouian RJ, 2006, FRONT HORM RES, V34, P256, DOI 10.1159/000091586
[8]   The sellar region [J].
Rhoton, AL .
NEUROSURGERY, 2002, 51 (04) :S335-S374