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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Incidental ethmoidal dural arteriovenous fistula coexisting with a pituitary adenoma exacerbating
Keisuke Yoshida1, Raita Fukaya1, Masahito Fukuchi1
1Department of Neurosurgery, Shizuoka City Shimizu Hospital, Shimizu, Shizuoka, Japan.
Abstract:
A 64 year-old man with pituitary adenoma developed massive epistaxis after an uneventful endoscopic transsphenoidal surgery. Angiography showed extravasation from the sphenopalatine artery, to which embolisation was performed. An incidentally coexisting ethmoidal dural arteriovenous fistula supplied by the ophthalmic artery aberrantly originated from the middle meningeal artery caused increased haemorrhage.
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