Mawk J R, Ausman J I, Erickson D L, Maxwell R E
J Neurosurg. 1979 Feb;50(2):229-32. doi: 10.3171/jns.1979.50.2.0229.
The authors report three cases of cerebral vascular spasm following transfrontal removal of large pituitary neoplasms. One patient awakened from surgery hemiparetic, but has since recovered. A second patient developed hemiparesis with confusion on the fifth postoperative day and eventually died. The third patient developed hemiplegia on the tenth postoperative day, but recovered completely. Vascular spasm was documented angiographically in all three cases. Possible mechanisms underlying this unusual complication are discussed.
作者报告了3例经额部切除大型垂体肿瘤后发生脑血管痉挛的病例。1例患者术后苏醒时出现偏瘫，但后来康复。第2例患者在术后第5天出现偏瘫并伴有意识模糊，最终死亡。第3例患者在术后第10天出现偏瘫，但完全康复。所有3例均经血管造影证实有血管痉挛。文中讨论了这种不寻常并发症的可能潜在机制。
