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| http://dx.doi.org/10.1186/s13256-023-04019-4 | DOI Listing |
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Missed diagnosis; non-traumatic retroclival haematoma in adults, brief case report with review and evaluation of similar cases in the literature.
Neurocirugia (Astur : Engl Ed)
March 2025
Karadeniz Technical University, Faculty of Medicine, Department of Neurosurgery, Trabzon, Turkey.
Retroclival subdural haematomas (RSH) are a rare occurrence, accounting for 0.3% of acute extra-axial haematomas. Although typically associated with trauma, non-traumatic causes include coagulopathy, pituitary apoplexy and vascular anomalies.
View Article and Find Full Text PDFEndoscopic endonasal surgery for suprasellar ectopic pituitary neuroendocrine tumors featuring apoplexy and a preoperative differential diagnosis: illustrative cases.
J Neurosurg Case Lessons
March 2025
Department of Neurosurgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Background: Ectopic pituitary neuroendocrine tumors (Pit-NETs) are rare. The authors present two cases of ectopic Pit-NETs located entirely in the suprasellar space without continuity with the normal pituitary gland.
Observations: In case 1, a 53-year-old male presented with right blindness and left visual field impairment.
Intraoperative venous air embolism during endoscopic transsphenoidal surgery: recommendations for management. Illustrative case.
J Neurosurg Case Lessons
March 2025
Department of Neurological Surgery, University of Washington, Seattle, Washington.
Background: Venous air embolism (VAE) is a rare neurosurgical complication that occurs when air is trapped in a large, exposed vein and there is a pressure gradient that drives the air embolus from the surgical site to the right heart. This case highlights the identification and management of intraoperative VAE during transsphenoidal surgery. Additional discussion is provided on pathophysiology and best practices for reducing risk of occurrence.
View Article and Find Full Text PDFEarly surgery is associated with improved postoperative visual outcomes in apoplectic pituitary neuroendocrine tumors with acute visual deterioration.
Neurosurg Rev
February 2025
Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, 560029, Karnataka, India.
Background: Pituitary apoplexy is a neurosurgical emergency that often manifests visual deterioration and cranial nerve palsies, presenting a need for urgent surgical decompression. However, the timing of surgery remains controversial, and the impact of perioperative characteristics of patients with apoplexy on visual recovery following surgery remains nebulous.
Methods: We retrospectively analyzed all cases of pituitary apoplexy with acute visual deterioration operated between 2013 and 2023, recording details of clinical presentation, surgery, and the postoperative period.
Pituitary Apoplexy: A Rare but Critical Emergency in Neuroendocrinology.
Cureus
January 2025
General Practice, Jazan University, Jazan, SAU.
Pituitary apoplexy is a rare and potentially life-threatening condition resulting from a sudden hemorrhage or infarction of the pituitary gland, often within a pre-existing adenoma. This report describes the case of a 45-year-old male patient who presented with an acute onset of a severe headache, visual disturbances, and cranial nerve palsy. Laboratory investigations revealed hypopituitarism with adrenal insufficiency, and magnetic resonance imaging confirmed a hemorrhagic pituitary macroadenoma compressing the optic chiasm.
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