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Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction
Management of pituitary apoplexy is multimodal. The surgical intervention followed by endocrinological management is the standard of care. Various vascular complications have been described in the literature after pituitary adenoma surgery. Artery of Percheron (AOP) infract is a rare finding. Few ca...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477806/ https://www.ncbi.nlm.nih.gov/pubmed/34660376 http://dx.doi.org/10.4103/ajns.AJNS_491_20 |
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author | Konar, Subhas Nishanth, Sadashiva Devi, B. Indira |
author_facet | Konar, Subhas Nishanth, Sadashiva Devi, B. Indira |
author_sort | Konar, Subhas |
collection | PubMed |
description | Management of pituitary apoplexy is multimodal. The surgical intervention followed by endocrinological management is the standard of care. Various vascular complications have been described in the literature after pituitary adenoma surgery. Artery of Percheron (AOP) infract is a rare finding. Few cases were reported in the English literature after the endoscopic approach for pituitary adenoma. We present a 55-year-old lady presented with sudden-onset headache followed by vision loss. She was evaluated with imaging and diagnosed pituitary adenoma with apoplexy. She underwent an endoscopic transnasal approach and decompression of the tumor. In the postoperative period, she developed bilateral ptosis with altered sensorium. Imaging showed infarction of bilateral paramedian thalamus and rostral midbrain, suggestive of AOP infarct. Gradually, the patient improved, and at 3 months of follow-up, she was conscious and obeying with partial improvement of ptosis. |
format | Online Article Text |
id | pubmed-8477806 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-84778062021-10-14 Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction Konar, Subhas Nishanth, Sadashiva Devi, B. Indira Asian J Neurosurg Case Report Management of pituitary apoplexy is multimodal. The surgical intervention followed by endocrinological management is the standard of care. Various vascular complications have been described in the literature after pituitary adenoma surgery. Artery of Percheron (AOP) infract is a rare finding. Few cases were reported in the English literature after the endoscopic approach for pituitary adenoma. We present a 55-year-old lady presented with sudden-onset headache followed by vision loss. She was evaluated with imaging and diagnosed pituitary adenoma with apoplexy. She underwent an endoscopic transnasal approach and decompression of the tumor. In the postoperative period, she developed bilateral ptosis with altered sensorium. Imaging showed infarction of bilateral paramedian thalamus and rostral midbrain, suggestive of AOP infarct. Gradually, the patient improved, and at 3 months of follow-up, she was conscious and obeying with partial improvement of ptosis. Wolters Kluwer - Medknow 2021-09-14 /pmc/articles/PMC8477806/ /pubmed/34660376 http://dx.doi.org/10.4103/ajns.AJNS_491_20 Text en Copyright: © 2021 Asian Journal of Neurosurgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Konar, Subhas Nishanth, Sadashiva Devi, B. Indira Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction |
title | Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction |
title_full | Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction |
title_fullStr | Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction |
title_full_unstemmed | Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction |
title_short | Rare Consequence of Pituitary Apoplexy Surgery: Artery of Percheron Infarction |
title_sort | rare consequence of pituitary apoplexy surgery: artery of percheron infarction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477806/ https://www.ncbi.nlm.nih.gov/pubmed/34660376 http://dx.doi.org/10.4103/ajns.AJNS_491_20 |
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