Recovery of vision after transcranial decompression of pituitary apoplexy characterized by third ventricular hemorrhage.

Abstract

The authors present a case of pituitary apoplexy characterized by massive third ventricular hemorrhage. This rare complication, which caused total blindness in the patient, a 67-year-old man, was treated with transcranial decompression of the pituitary tumor and removal of a blood clot from the third ventricle. After surgery, the patient totally recovered his vision. To the best of our knowledge, this is the first case of a patient with pituitary apoplexy that ruptured into the third ventricle (diagnosed by imaging studies) who was treated by emergency transcranial decompression.

• Authors: E Taşdemiroğlu, M Zuccarello, J M Tew Jr
• Journal: Neurosurgery (Neurosurgery) Vol. 32 Issue 1 Pg. 121-3; discussion 123-4 (Jan 1993) ISSN: 0148-396X [Print] United States
• PMID: 8421540 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoma (physiopathology, surgery)
• Aged
• Blindness (physiopathology, surgery)
• Cerebral Hemorrhage (physiopathology, surgery)
• Cerebral Ventricles (physiopathology, surgery)
• Craniotomy
• Humans
• Magnetic Resonance Imaging
• Male
• Nerve Compression Syndromes (physiopathology, surgery)
• Neurologic Examination
• Optic Nerve (physiopathology)
• Optic Nerve Diseases (physiopathology, surgery)
• Pituitary Apoplexy (physiopathology, surgery)
• Pituitary Neoplasms (physiopathology, surgery)
• Postoperative Complications (physiopathology)
• Tomography, X-Ray Computed
• Ventriculostomy
• Visual Acuity (physiology)