ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2011
Unusual cause of cerebral vasospasm after pituitary surgery.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Postoperative symptomatic vasospasm in pituitary surgery: case series and systematic review - a matter of blood?Neurosurgical review · 2026Pooled it
- The Stroke Alert that Wasn't: Lessons Learned from Meningitis-Associated Vasospasm.Neurocritical care · 2025Article
- Basilar artery vasospasm following transsphenoidal resection of recurrent pituitary macroadenoma: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Cerebral Vasospasm as a Critical Yet Overlooked Complication Following Tumor Craniotomy: A Systematic Review of Case Reports and Case Series.Journal of clinical medicine · 2025Review
- Proposal of a predictive score for the occurrence of postoperative cerebral vasospasm: analysis of a large single institution retrospective series and literature review.Neurosurgical review · 2024Review
- Predictors of operative ischemic cerebrovascular complications in skull base tumor resections: Experience in low-resource setting.Neuro-oncology practice · 2024Article
- Cerebral vasospasm occurring immediately after endoscopic transsphenoidal resection of a pituitary adenoma: A case report.Surgical neurology international · 2024Article
- Cerebral vasospasm as a consequence of pituitary apoplexy: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series.Surgical neurology international · 2023Article
- Postoperative vasospasm and cerebral infarction in a patient with large pituitary adenoma and cerebral superficial siderosis.Surgical neurology international · 2023Article
- Review
- The use of a stent-retriever to cause mechanical dilatation of a vasospasm secondary to iatrogenic subarachnoid haemorrhage.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Postsurgical meningitis complicated by severe refractory intracranial hypertension with limited treatment options: the role of mild therapeutic hypothermia.Journal of neurological surgery reports · 2014Article
- Cerebral ischaemia in pituitary disorders--more common than previously thought: two case reports and literature review.Pituitary · 2014Review
- Angiographically documented cerebral vasospasm following transsphenoidal surgery for pituitary tumors.Pituitary · 2013Article
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9 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Cerebral vasospasm (CVS) was described in patients after trans-sphenoidal pituitary surgery due to intra-operative trauma of arteries or blood clots around the arteries of Willis' circle. We consider that in the two presented cases the main cause of CVS in early postoperative period was meningitis. Two patients with pituitary adenomas were operated with trans-sphenoidal approach. CVS developed in early postoperative period. Meningitis was revealed in both cases. CVS regressed only after successful treatment of meningitis. In the first case empiric antibiotic therapy was ineffective and CVS remained until Klebsiella pneumonia was detected in CSF and specific therapy was performed. In the second case empiric therapy was effective and CVS vasospasm regressed in 12 days. These cases show that meningitis can be a leading cause of CVS in early postoperative period in trans-sphenoidal pituitary surgery. Adequate treatment of meningitis shortens duration of CVS in these patients.
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