Symptomatic Pneumocephalus After Trans-sphenoidal Surgery

Symptomatic Pneumocephalus after Spinal Intradural Tumor Surgery

We report a patient who developed symptomatic pneumocephalus after surgery for a spinal intradural tumor. A 30-yearold man presented with low back pain and leg pain was presented. Magnetic resonance image (MRI) demonstrated an welldemarcated intradural extramedullary tumor at the L3-4. The mass had little adhesion rootlets at its base. So, we achieved en-bloc total resection without any difficu...

Symptomatic Pneumocephalus after Lumbar Disc Surgery: a Case Report

Symptomatic pneumocephalus is frequently seen after traumatic fracture of the skull base bone. However, it has rarely been reported after spinal surgery and its mechanism has not been fully explained. In this paper, we present a 30 year old male patient who had lumbar discectomy due to a symptomatic midline lumbar disc herniation. He had developed symptomatic pneumocephalus after the lumbar dis...

The History of Trans-sphenoidal Surgery for Pituitary Tumours

Angio-oedema after trans-sphenoidal surgery in a patient with Cushing's disease.

Cushing’s disease is bilateral adrenocortical hyperplasia secondary to excessive secretion of ACTH by the pituitary gland. Angio-oedema is due to oedema in the deeper subcutaneous and submucosal tissues. We report a patient with acquired angio-oedema which developed after transsphenoidal surgery for Cushing’s disease (CD). A 50-year-old woman admitted to the endocrinology department with a two-...

Management of intra-operative cerebrospinal fluid leak following endoscopic trans-sphenoidal pituitary surgery.

OBJECTIVE Cerebrospinal fluid leakage is the most common complication of endoscopic trans-sphenoidal pituitary surgery. However, there is no uniformly accepted way of managing this complication when it occurs intra-operatively. This paper describes a quick, simple technique, involving layered fibrin glue and gelatin sponge, which does not compromise post-operative patient follow up. METHOD Re...