Progressive visual loss because of a suprasellar pneumatocele after trans-sphenoidal resection of a pituitary adenoma

Andrew G. Lee, John C. Van Gilder, Matthew L. White

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

A 63-year-old man who underwent uneventful trans-sphenoidal resection of a pituitary adenoma with fat packing complained postoperatively of progressive binocular visual acuity loss. Neuroimaging showed a suprasellar pneumatocele compressing the optic chiasm and a communication between the sphenoid sinus and the sella. After a second trans-sphenoidal procedure to remove the air and fully pack the sphenoid sinus, visual acuity recovered dramatically. A rare complication of trans-sphenoidal surgery for pituitary adenoma, suprasellar pneumatocele probably forms through a ball-valve mechanism that results from incomplete packing of the sellar floor. This case highlights the need for effective sphenoid sinus packing and for ophthalmic monitoring after trans-sphenoidal surgery.

Original languageEnglish (US)
Pages (from-to)142-144
Number of pages3
JournalJournal of Neuro-Ophthalmology
Volume23
Issue number2
DOIs
StatePublished - Jun 2003

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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