Journals / Journal of Neurological Sciences (Turkish) / 2014 / Cilt: 31 - Sayı: 4

Yatrojenik Baziler Arter Anevrizması: Transmaksiller Transsfenoidal Cerrahinin Ender Komplikasyonu: Olgu Sunumu

Iatrogenic Basilary Artery Aneurysm: A Rare Vascular Complication of Transshphenoidal Transmaxillary Surgery: Case Report

Pages
822–826
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This is the first case report in literature describing a basilar arterypseudoaneurysm after extracranial tansmaxillary approach to a clivus tumor.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Vascular injury to structures adjacent to the sphenoid sinus and rostral clivus is a rarecomplication in transsphenoidal surgery.
📊
Key Findings & Data:Therupture of all three layers of artery accompanied by an organized hematoma results in a falseaneurysm (1, 2).
💡
Conclusion & Impact:This is the first case report in literature describing a basilar arterypseudoaneurysm after extracranial tansmaxillary approach to a clivus tumor.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Vascular injury to structures adjacent to the sphenoid sinus and rostral clivus is a rarecomplication in transsphenoidal surgery. Carotid and basilar artery injury can be disastrousbecause of difficulty to obtain a proximal control. If an intraoperative injury is wellcontrolled, a postoperative arteriography is necessary to search for a pseudoaneurysm. Therupture of all three layers of artery accompanied by an organized hematoma results in a falseaneurysm (1, 2). This is the first case report in literature describing a basilar arterypseudoaneurysm after extracranial tansmaxillary approach to a clivus tumor.

Özet

Transsfenoiadl cerrahi esnasında sfenoid sinus ve rostral klivusa komşu yapıların vaskülerhasarı ender komplikasyondur. Karotid ve baziler arter hasarı proksimal kontroluygulanamadığı için bu durumlarda felaket nitekliği taşır.Cerrahi esnasında hasar kontrolaltına alınmış ise post operatif dönemde psödoanevrizma oluşumları açısından arteriografiuygulanması önerilmektedir.Arter duvarının her üç katının hasar görmesi yalancı anevrizmave organize hematom oluşumuna neden olabilmektedir(1,2). Bu olgu sunumu ekstrakranialtransmaksiller yaklaşım sonrası gelişen bazler arter psüdoanevrizma olgusu olarak literatürdeilk kez raporlanmaktadır.

🔖

Cite This Article

AHMEDOV, R., FATIH, S. M., NEVHIS, A., CANDAN, M., CELAL, Ç., MEHMET, Z. (2022). Yatrojenik Baziler Arter Anevrizması: Transmaksiller Transsfenoidal Cerrahinin Ender Komplikasyonu: Olgu Sunumu. Journal of Neurological Sciences (Turkish), Cilt: 31 - Sayı: 4, 822–826. https://ajindex.com/articles/565014

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Berker M, Aghayev K, Saatci I, et al. Overview of vascular comp lications of p ituitary surgery with sp ecial emp hasis on unexp ected abnormality. Pituitary. 2010;13:160 2. Biswas D, Daudia A, Jones NS, et al. Prof use ep istaxis f ollowing sp henoid surgery: a rup tured carotid artery pseudoaneurysm and its management. J Laryngol Otol. 2009;123:692 3. Ciceri EF, Regna-Gladin C, Erbetta A, et al. Iatrogenic intracranial pseudoaneurysms: neuroradiological and therap eutical considerations, including endovascular op tions. Neurol Sci. 2006;27:317 4. Dolenc VV, Lip ovsek M, Slokan S. Traumatic aneurysm and carotid-cavernous f istula f ollowing transsp henoidal app roach to a p ituitary adenoma: treatment by transcranial op eration. Br J Neurosurg. 199;13:185 5. Feldges A, Nau HE, Reinhardt V. Two cases of sudden death by rup ture of traumatic and bacterial aneurysm. Intensive Care Med 1989; 15:400 – 402 6. Grigorian A, Raj araman V, Hunt CD (1998) Traumatic intracranial aneurysms comp licating anterior skull base surgery. J Craniomaxillof ac Trauma 4:10–14 7. Kadyrov NA, Friedman JA, Nichols DA, et al. Endovascular treatment of an internal carotid artery pseudoaneurysm f ollowing transsp henoidal surgery. Case rep ort. J Neurosurg. 2002;96:624 8. Kocer N, Kizilkilic O, Albayram S, et al. Treatment of iatrogenic internal carotid artery laceration and carotid cavernous f istula with endovascular stent- graf t p lacement. AJNR Am J Neroradiol. 2002;23:442 9. Loop J W, White LE Jr, Shaw CM. Traumatic occlusion of the basilar artery within a clivus f racture. Radiology 1964; 83:36 – 40 10. Park YS, Jung JY, Ahn JY, et al. Emergency endovascular stent graf t and coil p lacement f or internal carotid artery inj ury during transsp henoidal surgery. Surg Neurol. 2009; 72:741 11. Paul GA, Shaw C-M, Wray LM. True traumatic aneurysm of the vertebral artery. J Neurosurg 1980; 53: 101-105 12. Polezhaev A V, Cherebillo Vlu, Savello A V, Svistov D V. Therap eutic management f or iatrogenic inj ury of great arteries during transnaasal surgery of tumors of the hyp op hysis. Vestn Khir Im I I Grek. 2008;167(6):71-6.