Surgical neurology international · 2026
Early rupture of an anterior communicating artery pseudoaneurysm after transsphenoidal surgery: A case report and clinical implications.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Shitara Satoshi, Yamagishi Masayuki, Hirai Hisao
Аннотация
BACKGROUND: Intracranial pseudoaneurysm after transsphenoidal surgery (TSS) is rare, particularly in the anterior communicating artery (AcomA).
CASE DESCRIPTION: A 47-year-old female underwent extended TSS for a giant pituitary adenoma with gross-total resection. She developed a subarachnoid hemorrhage on the night of surgery. Angiography revealed a ruptured AcomA pseudoaneurysm, which was successfully treated with coil embolization. The patient achieved good recovery (modified Rankin Scale 1).
CONCLUSION: Early postoperative hemorrhage after TSS should prompt early vascular imaging, as timely endovascular treatment can be life-saving.
CASE DESCRIPTION: A 47-year-old female underwent extended TSS for a giant pituitary adenoma with gross-total resection. She developed a subarachnoid hemorrhage on the night of surgery. Angiography revealed a ruptured AcomA pseudoaneurysm, which was successfully treated with coil embolization. The patient achieved good recovery (modified Rankin Scale 1).
CONCLUSION: Early postoperative hemorrhage after TSS should prompt early vascular imaging, as timely endovascular treatment can be life-saving.