Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery
| Autor: | Ulrich Grzyska, Carolin Ludwig, Piotr Sumisławski, Roman Rotermund, Jörg Flitsch |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
jscrep/0100
Intracerebral hemorrhage Transsphenoidal surgery medicine.medical_specialty AcademicSubjects/MED00910 medicine.diagnostic_test business.industry medicine.medical_treatment Case Report medicine.disease Magnetic resonance angiography Hydrocephalus Pseudoaneurysm Aneurysm medicine.artery Angiography cardiovascular system medicine Surgery cardiovascular diseases Radiology Internal carotid artery business |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjab146 |
| Popis: | False aneurysm of internal carotid artery (ICA) is a rare but serious vascular complication observed after transsphenoidal pituitary surgery. Here, we present a 41-year-old woman with a pseudoaneurysm in the ophthalmic1 segment of the left ICA after exoscopic transsphenoidal pituitary surgery. The initially uneventful procedure was complicated by a subarachnoidal hemorrhage 10 days after the surgery, which was confirmed by cranial computed tomography scan. The emergency angiography revealed a pseudoaneurysm of the ophthalmic1 part of the left ICA. Despite repeated endovascular treatments with a flow diverter and coiling, the patient experienced a re-bleeding with consecutive vasospasms, occlusion hydrocephalus and finally bifrontal intracerebral hemorrhage with fatal outcome. As a conclusion in irregular post-operative courses with for example headache, a post-operative magnetic resonance imaging with vessel presentation using TOF sequence and contrast-enhanced MRA might be recommended in order to detect a possible pseudoaneurysm in an early stage. |
| Databáze: | OpenAIRE |
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