경접형동 뇌하수체 수술에 합병된 뇌지주막하 출혈 1례

Abstract

Several complications may develop following transsphenoidal surgery for the sellar and suprasellar pathologies. But the occurrence of the subarachnoid hemorrhage and resulting brain infarction after pituitary surgery has been seldom reported. The author reports a case of subarachnoid hemorrhage after pituitary adenomectomy via transsphenoidal approach. A 65-year-old man presented with convulsion and visual decline in delayed fashion after uneventful recovery from successful pituitary surgery for his large non-functioning adenoma. The pathophysiology and the surgical tactics for prevention of this rare complication of the pituitary adenoma surgery, so called postoperative ’pituitary apoplexy’, will be described.