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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 763-765
DOI: 10.4103/ajns.AJNS_253_19
Case Report

Suprasellar tension pneumatocele after endoscopic transsphenoidal surgery for pituitary macroadenoma

Anil Sharma
Department of Neurosurgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh
,
Rupa Mehta
1   Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh
,
Naman Chandrakar
Department of Neurosurgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh
,
Nikhil Singh
1   Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh
,
Nitin Nagarkar
1   Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh
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Tension pneumatocele is a very rare but potentially fatal complication of transsphenoidal surgery that can result from an influx of air into the intracranial cavity through the cerebrospinal fluid fistula. Although transsphenoidal surgeries for pituitary adenomas are very commonly performed procedures, this complication is extremely rare. We report a case of tension pneumatocele after transsphenoidal resection of a pituitary macroadenoma. After a second endoscopic transsphenoidal procedure to remove the air and repair of the sella floor, visual acuity recovered dramatically. Tension pneumatocele is an uncommon but potentially lethal complication of transsphenoidal pituitary surgery, which can present anytime, even after years postoperatively. It is important for all skull base surgeons to be aware of this condition so that prompt treatment can be instituted.

Key-words:

Pituitary adenoma - tension pneumatocele - transsphenoidal

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 14. August 2019

Angenommen: 24. März 2020

Artikel online veröffentlicht:
16. August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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