Prolonged Coma after Pituitary Macro- adenoma Surgery: A Case Report with Short Literature review

  • M. Karki Department of Neurosurgery, Neuro-Cardio and Multispecialty Hospital, Skull Base and Neurovascular Research Center, Biratnagar , Morang
  • A.J. Thapa Department of Neurosurgery, Neuro-Cardio and Multispecialty Hospital, Skull Base and Neurovascular Research Center, Biratnagar , Morang, Nepal
  • Yam Bahadur Roka Department of Neurosurgery, Neuro-Cardio and Multispecialty Hospital, Skull Base and Neurovascular Research Center, Biratnagar , Morang, Nepal http://orcid.org/0000-0003-1458-3705
Keywords: Pituitary Macro-adenoma, Surgery, Thalamic Infarction, Vasospasm and Coma

Abstract

Prolonged coma after surgery of pituitary macro-adenoma with apoplexy, often previously unnoticed, is rare and not well reported complication. A 65 year male presented with complaints of headache and blurred vision since few months. Brain MRI was done and it reported macro- adenoma with pituitary apoplexy. Right pterional craniotomy was done following total excision of tumor. Patient developed whole body seizure at first day of surgery and went to prolonged coma.

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Abstract
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Published
2019-11-26
Section
Case Reports