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Intra-Operative Rupture of Remote Aneurysm during Transphenoidal Resection of Pituitary Macroadenoma

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DOI: 10.4236/ojmn.2014.42014    3,607 Downloads   4,898 Views   Citations

ABSTRACT

Rupture of intracranial aneurysm resulting in subarachnoid hemorrhage is well known to carry significant risk of poor outcome. Intra-operative rupture of an unknown intracranial aneurysm during a neurosurgical procedure is a rare occurrence that can lead to devastating consequences if not recognized and managed appropriately. Here we describe to our knowledge, the first reported case of previously unknown, remote from the surgical site, intra-operative posterior cerebral artery aneurysm rupture during transnasal endoscopic transphenoidal resection of a pituitary macroadenoma, review relevant literature, and discuss strategies to reduce surgical risk and improve patient outcomes.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Rajah, G. and Hornyak, M. (2014) Intra-Operative Rupture of Remote Aneurysm during Transphenoidal Resection of Pituitary Macroadenoma. Open Journal of Modern Neurosurgery, 4, 64-68. doi: 10.4236/ojmn.2014.42014.

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