Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Konar, Subhas, Nishanth, Sadashiva, Devi, B. Indira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
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
_version_ 1784575920237969408
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
work_keys_str_mv AT konarsubhas rareconsequenceofpituitaryapoplexysurgeryarteryofpercheroninfarction
AT nishanthsadashiva rareconsequenceofpituitaryapoplexysurgeryarteryofpercheroninfarction
AT devibindira rareconsequenceofpituitaryapoplexysurgeryarteryofpercheroninfarction