Preview

Russian journal of neurosurgery

Advanced search

The transnasal endoscopic removal of pituitary adenoma at patients with dilated intercavernous sinuses

https://doi.org/10.17650/1683-3295-2015-0-3-50-53

Abstract

This article discusses such complication of transnasal surgical treatment of pituitary adenomas as intraoperative bleeding from intercavernous sinuses. The MRI images of hypertrophic intercavernous sinuses (IS), technical features of surgery at such patients as well as methods of hemostasis and adenoma removal under conditions of bleeding are presented.

About the Authors

A. Yu. Grigor’Ev
МГМСУ им. А.И. Евдокимова; ФГУ Эндокринологический научный центр МЗ РФ
Russian Federation


I. M. Godkov
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation


E. V. Grigor’Eva
ООО «Медикал Клаб Консилиум»
Russian Federation


References

1. Aquirini M.G., Marione A.C.H., Schneider F.L. Intercavernous venous communications in the human skull base // Skull Base Surgery. - 1994. - Vol. 4. - P. 145 - 150.

2. Boezaart A.P., van der Merwe J., Coetzee A. Comparison of sodiumnitroprusside- and esmolol-induced controlled hypotension for functional endoscopic sinus surgery // Can. J. Anesth. - 1995. - Vol. 42. - P. 373 - 376.

3. Divitiis E., Spaziante R., Iaccarino V., Stella L., Genovese L. Phlebography of the cavernous and intercavernous sinuses // Surg. Neurol. - 1981. - Vol. 15. - P. 306 - 312.

4. Gendeh B.S., Doi M., Selladurai B.M., Khalid B.A., Jeqan T., Misiran K. The role of endoscopic endonasal approach to pituitary tumors: HUKM experience // Med. J. Malaysia. - 2006. - Vol. 61 (3). - P. 343 - 348.

5. Hong Y., Chen S., Guo S., Yu J., Wu Q., Zhang J. A new technique for management of intercavernous sinus bleeding with titanium clips in transsphenoidal surgery // Neurol. India. - 2010. - Vol. 58 (6). - P. 847 - 851.

6. Kim E.H., Ahn J.Y., Chang J.H., Kim S.H. Management strategies of intercavernous sinus bleeding during transsphenoidal surgery // Acta Neurochir. (Wien). - 2009. - Vol. 151 (7). - P. 803-808.

7. Orozco L.D., Buciuc R.F., Parent A.D. Endovascular embolization of prominent intercavernous sinuses for succ essful transsphenoidal resection of Cushing microadenoma: case report // Neurosurgery. - 2012. - Vol. 71 (1 Suppl. Operative). - P. 204-208.

8. Renn W.H., Rhoton A.L.Jr. Microsurgical anatomy of the sellar region // J. Neurosurg. - 1975. - Vol. 43. - P. 288-298.

9. Tubbs R.S., Griessenauer C., Loukas M., Cohen-Gadol A.A. The Circular Sinus: An Anatomic Study with Neurosurgical and Neurointerventional Applications // World Neurosurg. 2013 Jan 29. pii: S1878-8750(12)01341-1. doi: 10.1016/j.wneu.2012.11.052. [Epub ahead of print].


Review

For citations:


Grigor’Ev A.Yu., Godkov I.M., Grigor’Eva E.V. The transnasal endoscopic removal of pituitary adenoma at patients with dilated intercavernous sinuses. Russian journal of neurosurgery. 2015;(3):50-53. (In Russ.) https://doi.org/10.17650/1683-3295-2015-0-3-50-53

Views: 519


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
X