ABSTRACT
A 57-year-old woman was diagnosed as a Rathke cleft cyst (RCC). Endoscopic transsphenoidal surgery (TSS) was performed uneventfully. She developed subarachnoid haemorrhage on postoperative day 3. The vessels adhered the cyst had been pulled into the pituitary fossa, causing an aneurysm.
Subject(s)
Aneurysm, Ruptured/etiology , Carotid Artery, Internal , Central Nervous System Cysts/surgery , Aneurysm, Ruptured/surgery , Decompression, Surgical/methods , Female , Humans , Magnetic Resonance Angiography , Magnetic Resonance Imaging , Middle Aged , Neuroendoscopy , Pituitary Gland , Sella Turcica , Subarachnoid Hemorrhage/etiology , Treatment OutcomeABSTRACT
Efficient endoscopic surgery in cases involving small ventricles is difficult but possible. The authors describe a neuroendoscopic sheath that has been improved to make it suitable for use with a Leksell stereotactic frame, which enabled us to accurately insert a stereotactic needle into the small ventricle and provided an adequate surgical corridor. A biopsy was performed on a 6-year-old girl who had a primary central nervous system lymphoma in the pineal body without hydrocephalus.
