Figure 1. MRI with T1 with contrast showing a large heterogeneously enhancing mass centered within the sella extending into the suprasellar cistern measuring 2.1 × 3.3 × 3.3 cm in maximum dimensions. MRI: magnetic resonance imaging.
| Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc |
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Case Report
Volume 12, Number 3, October 2022, pages 132-138
Symptomatic Cerebral Vasospasm After Transsphenoidal Adenoma Resection of the Pituitary
Figures
Table
| Clinical characteristics | Patients (N = 27) (n (%)) |
|---|---|
| SAH: subarachnoid hemorrhage; CSF: cerebrospinal fluid; ACA: anterior cerebral artery; ICA: internal carotid artery; MCA: middle cerebral artery; PCA: posterior cerebral artery; PCommA: posterior communicating artery; TSS: transsphenoidal surgery. | |
| Age (years) (mean) | 47.33 ± 15.22 |
| Gender (n (%)) | |
| Female | 14 (51.9) |
| Male | 13 (48.1) |
| SAH/hemorrhage | |
| No | 4 (14.8) |
| Yes | 23 (85.2) |
| CSF leak | |
| No | 21 (77.7) |
| Yes | 6 (22.3) |
| Presentation time (days) | 7.5 ± 2.6 |
| Vasospasm clinical manifestation | |
| Hemiparesis | 7 (25.9) |
| Aphasia | 9 (33.3) |
| Mental status deterioration | 7 (25.9) |
| Weakness | 9 (33.3) |
| Vessels implicated | |
| ICA | 16 (64) |
| MCA | 15 (60) |
| ACA | 18 (72) |
| PCA | 1 (4) |
| PComA | 1 (4) |
| ICA, ACA and MCA | 9 (36) |
| Diffuse | 2 (7.4) |
| Unilateral | 16 (64) |
| Bilateral | 9 (36) |
| Infarction | |
| No | 9 (33.3) |
| Yes | 18 (66.7) |
| Craniotomy | |
| No | 22 (81.5) |
| Yes | 5 (18.5) |
| Outcome | |
| Complete remission | 13 (48.2) |
| Incomplete remission | 9 (33.3) |
| Death | 5 (18.5) |