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经蝶窦切除垂体腺瘤后并发蛛网膜下腔出血、中脑出血和丘脑梗死。病例报告。

Subarachnoid hemorrhage, midbrain hemorrhage and thalamic infarction following transsphenoidal removal of a pituitary adenoma. A case report.

作者信息

Kuroyanagi T, Kobayashi S, Takemae T, Kobayashi S

机构信息

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.

出版信息

Neurosurg Rev. 1994;17(2):161-5. doi: 10.1007/BF00698774.

DOI:10.1007/BF00698774
PMID:7970023
Abstract

We report a rare case of complication following transphenoidal resection of a nonfunctioning pituitary adenoma in which subarachnoid hemorrhage, midbrain hemorrhage and thalamic infarction occurred. Possible pathologic mechanisms are discussed and the need for clinical awareness of this rare complication is stressed.

摘要

我们报告了一例经蝶窦切除无功能性垂体腺瘤后发生并发症的罕见病例，该病例出现了蛛网膜下腔出血、中脑出血和丘脑梗死。文中讨论了可能的病理机制，并强调了临床对这种罕见并发症的认识需求。

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Subarachnoid hemorrhage, midbrain hemorrhage and thalamic infarction following transsphenoidal removal of a pituitary adenoma. A case report.经蝶窦切除垂体腺瘤后并发蛛网膜下腔出血、中脑出血和丘脑梗死。病例报告。
Neurosurg Rev. 1994;17(2):161-5. doi: 10.1007/BF00698774.
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[Massive subarachnoid hemorrhage and intraventricular hemorrhage after transsphenoidal surgery of pituitary adenoma: a case report].[垂体腺瘤经蝶窦手术后发生大量蛛网膜下腔出血和脑室内出血：一例报告]
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Severe subarachnoid hemorrhage during transsphenoidal surgery for pituitary adenoma.垂体腺瘤经蝶窦手术期间发生严重蛛网膜下腔出血。
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Detection of suprasellar subarachnoid hemorrhage using intraoperative magnetic resonance imaging during endoscopic transsphenoidal resection of pituitary neuroendocrine tumors.在内镜经蝶窦切除垂体神经内分泌肿瘤术中，使用术中磁共振成像检测鞍上蛛网膜下腔出血。
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Hemostasis through Extended Transsphenoidal Route for Subarachnoid Hemorrhage after Conventional Transsphenoidal Surgery for a Pituitary Adenoma.经扩展经蝶窦入路止血治疗垂体腺瘤常规经蝶窦手术后蛛网膜下腔出血
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Vasospasm following transsphenoidal tumor removal associated with the arterial changes of oral contraception.
Surg Neurol. 1983 Aug;20(2):120-4. doi: 10.1016/0090-3019(83)90461-5.
2
Rupture of anterior communicating artery aneurysm during transsphenoidal surgery for pituitary adenoma.垂体腺瘤经蝶窦手术期间前交通动脉动脉瘤破裂。
Surg Neurol. 1983 Jul;20(1):67-70. doi: 10.1016/0090-3019(83)90110-6.
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Syndrome of the mesencephalic artery: report of a case with CT and necropsy findings.中脑动脉综合征：一例CT及尸检结果报告。
A Rare Complication of Pituitary Adenoma Surgery in a Patient with Multiple Endocrine Neoplasia 1 Syndrome with Two Novel Genetic Mutations.
一名患有多发性内分泌腺瘤病1型综合征且有两种新基因突变的患者垂体腺瘤手术的罕见并发症
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Avoiding Complications in Endoscopic Trans-Sphenoidal Surgery for Pituitary Adenoma: A Beginner's Perspective.垂体腺瘤内镜经蝶窦手术中并发症的规避：初学者视角
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Dynamic axial brain stem distortion as a mechanism in the production of brain stem hemorrhages: role of the carotid arteries.
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The clinical course of perimesencephalic nonaneurysmal subarachnoid hemorrhage.中脑周围非动脉瘤性蛛网膜下腔出血的临床病程。
Ann Neurol. 1991 May;29(5):463-8. doi: 10.1002/ana.410290503.
7
Complications of trans-sphenoidal surgery.
Clin Neurosurg. 1976;23:401-16. doi: 10.1093/neurosurgery/23.cn_suppl_1.401.