Bougaci N, Paquis P
Service de neurochirurgie, hôpital Pasteur, CHU de Nice, 30, voie Romaine, 06000 Nice, France.
Service de neurochirurgie, hôpital Pasteur, CHU de Nice, 30, voie Romaine, 06000 Nice, France.
Neurochirurgie. 2017 Mar;63(1):25-27. doi: 10.1016/j.neuchi.2016.12.002. Epub 2017 Mar 8.
Cerebral vasospasm (CVS) is a rare complication of transsphenoidal surgery for pituitary adenomas.
The authors describe a symptomatic cerebral ischemia due to an internal carotid, left middle cerebral artery and anterior cerebral artery vasospasm in a patient undergoing transsphenoidal surgery for a pituitary macro adenoma. The patient was successfully treated by an endovascular balloon angioplasty.
This issue should be taken into account, even when rare, in every patient who has surgery for a pituitary tumor, particularly when it concerns a large macro adenoma with suprasellar extension. Special precautions must be taken to avoid this rare complication.
脑血管痉挛（CVS）是垂体腺瘤经蝶窦手术的一种罕见并发症。
作者描述了一例在接受垂体大腺瘤经蝶窦手术的患者中，因颈内动脉、左侧大脑中动脉和大脑前动脉血管痉挛导致的症状性脑缺血。该患者通过血管内球囊血管成形术成功治疗。
对于每一位接受垂体肿瘤手术的患者，即使这种情况很罕见，尤其是涉及到有鞍上扩展的大型大腺瘤时，都应考虑到这个问题。必须采取特殊预防措施以避免这种罕见并发症。
