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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 595-597
DOI: 10.4103/ajns.AJNS_491_20
Case Report

Rare consequence of pituitary apoplexy surgery: Artery of percheron infarction

Subhas Konar
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
,
Sadashiva Nishanth
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
,
B Devi
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
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Management of pituitary apoplexy is multimodal. The surgical intervention followed by endocrinological management is the standard of care. Various vascular complications have been described in the literature after pituitary adenoma surgery. Artery of Percheron (AOP) infract is a rare finding. Few cases were reported in the English literature after the endoscopic approach for pituitary adenoma. We present a 55-year-old lady presented with sudden-onset headache followed by vision loss. She was evaluated with imaging and diagnosed pituitary adenoma with apoplexy. She underwent an endoscopic transnasal approach and decompression of the tumor. In the postoperative period, she developed bilateral ptosis with altered sensorium. Imaging showed infarction of bilateral paramedian thalamus and rostral midbrain, suggestive of AOP infarct. Gradually, the patient improved, and at 3 months of follow-up, she was conscious and obeying with partial improvement of ptosis.

Key-words:

Artery of Percheron - endoscopic surgery - infarction - pituitary apoplexy

Financial support and sponsorship

Nil.




Publication History

Received: 26 November 2020

Accepted: 30 May 2021

Article published online:
16 August 2022

© 2021. 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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