经蝶窦切除垂体腺瘤后发生的脑血管痉挛。

Cerebral vasospasm following transsphenoidal removal of a pituitary adenoma.

作者信息

Nishioka H, Ito H, Haraoka J

机构信息

Department of Neurosurgery, Tokyo Medical University, Japan.

出版信息

Br J Neurosurg. 2001 Feb;15(1):44-7. doi: 10.1080/02688690020024391.

DOI:10.1080/02688690020024391

PMID:11303660

Abstract

We report a case of pituitary macroadenoma that developed symptomatic vasospasm 12 days after transsphenoidal removal, but showed an excellent recovery following active treatment identical to those for vasopasm following aneurysmal subarachonid haemorrhage. Subarachnoid haematoma in the basal cisterns secondary from postoperative intracapsular haemorrhage was the most probable cause of the vasopasm.

摘要

我们报告一例垂体大腺瘤患者，该患者在经蝶窦切除术后12天出现症状性血管痉挛，但经过与动脉瘤性蛛网膜下腔出血后血管痉挛相同的积极治疗后恢复良好。术后囊内出血继发基底池蛛网膜下腔血肿很可能是血管痉挛的原因。