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Complications of the Transsphenoidal Approach to Sellar Lesions

Published online by Cambridge University Press:  18 September 2015

Kesava Reddy ,
Derek Fewer  and
Michael West
Kesava Reddy*
Affiliation:
Sections of Neurosurgery, McMaster University, Hamilton
Derek Fewer
Affiliation:
University of Manitoba, Winnipeg
Michael West
Affiliation:
University of Manitoba, Winnipeg
*
Department of Surgery, 8th Floor, St. Joseph's Hospital, 50 Charleton Avenue East, Hamilton, Ontario, Canada L8N 4A6
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Abstract:

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Transsphenoidal surgery is currently performed extensively for lesions of the sella turcica. The mortality and morbidity of this surgical approach are minimal, and the results satisfactory overall. Only a few studies have addressed the complications of this approach. The authors present a retrospective study of 200 transsphenoidal procedures in 196 patients over an eleven year period. There was one death due to meningitis. Major morbidity consisted of intraventricular hemorrhage in three patients, false aneurysm of the internal carotid artery in one patient and thalamic infarction in another patient. Minor morbidity details are presented. The pathogenesis of the most serious of these complications along with possible preventive measures are discussed.

Type
Articles
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue 4 , November 1991 , pp. 463 - 466
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

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