경접형동수술후 발생한 급성 경막외혈종

• 영문명: Acute Epidural Hematoma after Transsphenoidal Surgery: A case report
• 발행기관: 대한두개저학회
• 저자명: 김현두(Hyun Doo Kim) 이기택(Gi Taek Yee) 한성록(Seong Rok Han) 최찬영(Chan Young Choi) 이채혁(Chae Hyuk Lee)
• 간행물 정보: 『대한두개저학회지』제4권 제2호, 19~22쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.12.30

영문 초록

Hemorrhage remote from the surgical site after transsphenoidal approach is uncommon. We report a rare case of epidural hematoma occurrence following pituitary tumor surgery via transsphenoidal approach. During the operation, the arachnoid membrane seemed not to be disturbed but clear fluid like cerebrospinal fluid(CSF) was suspected to be being leaked. Lumbar drain was inserted immediately after surgery. Four hours after surgery, the patient’s consciousness fell to drowsiness and exhibited right hemiparesis. Brain CT scan revealed large amount of hematoma in the epidural space of left parietal area. Emergency craniotomy was performed and hematoma was removed. Over-drainage of CSF through the lumbar drain seems to be major cause for this postoperative complication.

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acute epidural hematoma transsphenoidal surgery CSF leak pituitary adenoma