J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803527
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Endoscopic Endonasal Transcavernous Approach for Removal of Pituitary Macroadenoma with Apoplexy: Technical Nuances

Authors

  • Adnan H. Shahid

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Mehdi Khaleghi

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Sudhir Suggala

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Danner Butler

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Garrett Dyess

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Ursula Hummel

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Mark Gacek

    1   University of South Alabama Mobile, Mobile, Alabama, United States

  • Jai D. Thakur

    1   University of South Alabama Mobile, Mobile, Alabama, United States
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A 67-year-old male presented with acute left-sided vision loss, headache, and complete CN III and VI palsy, with a sellar mass extending to the left cavernous sinus and suprasellar chiasmatic compression. An endonasal trans-cavernous approach was used for tumor removal from the superior and inferior compartments, achieving gross total resection. The patient was discharged on POD-2, showing complete improvement of the CN III and VI function with a peripheral visual field exam at 1-year follow-up.

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Publication History

Article published online:
07 February 2025

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