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经蝶窦垂体切除术后海绵窦段颈内动脉假性动脉瘤与进行性眼球外肌麻痹。病例报告。

False aneurysm of the cavernous carotid artery and progressive external ophthalmoplegia after transsphenoidal hypophysectomy. Case report.

作者信息

Paullus W S, Norwood C W, Morgan H W

出版信息

J Neurosurg. 1979 Nov;51(5):707-9. doi: 10.3171/jns.1979.51.5.0707.

DOI:10.3171/jns.1979.51.5.0707
PMID:501412
Abstract

A case is reported in which a large false aneurysm and small associated fistula formed in the cavernous carotid artery as the result of laceration at the time of transsphenoidal surgery. The clinical syndrome associated with the enlarging mass and the surgical management of the lesion itself are described. The value of the midline approach to the sella is stressed, along with anatomical variants of the carotid artery.

摘要

本文报告了一例经蝶窦手术时海绵窦段颈内动脉撕裂后形成巨大假性动脉瘤及相关小瘘管的病例。描述了与肿块增大相关的临床综合征及病变本身的手术治疗方法。强调了经蝶窦中线入路的价值以及颈内动脉的解剖变异。

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引用本文的文献

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Pituitary adenomas: historical perspective, surgical management and future directions.垂体腺瘤:历史回顾、手术治疗及未来方向。
CNS Oncol. 2015;4(6):411-29. doi: 10.2217/cns.15.21. Epub 2015 Oct 26.
2
Flow diversion in the treatment of carotid injury and carotid-cavernous fistula after transsphenoidal surgery.经蝶窦手术后颈动脉损伤和颈内动脉海绵窦瘘治疗中的血流导向术
Interv Neuroradiol. 2015 Jun;21(3):346-50. doi: 10.1177/1591019915582367. Epub 2015 May 26.
3
Delayed cavernous carotid artery pseudoaneurysm caused by absorbable plate following transsphenoidal surgery: case report and review of the literature.
经蝶窦手术后可吸收板导致的延迟性海绵窦段颈内动脉假性动脉瘤:病例报告及文献复习
J Neurol Surg Rep. 2013 Jun;74(1):10-6. doi: 10.1055/s-0033-1338164. Epub 2013 Apr 8.
4
Overview of vascular complications of pituitary surgery with special emphasis on unexpected abnormality.垂体手术血管并发症概述,特别强调意外异常。
Pituitary. 2010 Jun;13(2):160-7. doi: 10.1007/s11102-009-0198-7.
5
Vascular complications of transsphenoidal surgery.经蝶窦手术的血管并发症
Pituitary. 1999 Aug;2(2):163-70. doi: 10.1023/a:1009951917649.
6
Invasive v non-invasive assessment of the carotid arteries prior to trans-sphenoidal surgery.
Neuroradiology. 1987;29(5):457-61. doi: 10.1007/BF00341743.