Endovascular embolization of prominent intercavernous sinuses for successful transsphenoidal resection of Cushing microadenoma: case report

Neurosurgery
Ludwig D OrozcoAndrew D Parent

Abstract

Prominent intercavernous sinuses may result in vigorous bleeding during transsphenoidal resection of pituitary microadenomas and lead to incomplete or aborted tumor resection. We report the use of coil embolization of the intercavernous sinuses to prevent uncontrollable bleeding before transsphenoidal surgery is reattempted. A 40-year-old man with Cushing disease underwent an attempt for transsphenoidal resection of an adrenocorticotrophic hormone--producing pituitary microadenoma. This approach was aborted secondary to profuse intercavernous sinus bleeding. The patient underwent endovascular coil embolization of the anterior intercavernous sinuses with complete obliteration. Six weeks later, he underwent successful transsphenoidal resection of the microadenoma. To the best of our knowledge, this is the first report of successful coil embolization of the intercavernous sinuses to prevent uncontrolled bleeding before transsphenoidal resection of pituitary microadenomas.

References

May 1, 1986·Journal of the Royal Society of Medicine·R FahlbuschO A Müller
Apr 1, 1981·Surgical Neurology·E de DivitiisL Genovese
Jan 1, 1994·British Journal of Neurosurgery·R S Cooke, R A Jones
Nov 18, 2000·Pituitary·E R Laws
Aug 17, 2002·Neurosurgery·John A JaneEdward R Laws
Aug 17, 2002·Neurosurgery·Dilantha B EllegalaEdward R Laws
Jun 14, 2003·Neuroimaging Clinics of North America·James N Scott, Richard I Farb
Oct 2, 2004·Neurosurgery·Paolo CappabiancaEnrico de Divitiis
Jan 1, 1994·Skull Base Surgery·M G AquiniF L Schneider
May 1, 2009·Acta neurochirurgica·Eui Hyun KimSun Ho Kim

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Citations

Sep 26, 2020·Surgical and Radiologic Anatomy : SRA·Louis CheninJohann Peltier

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