Troubles neurologiques

Management of Complications in Endoscopic Endonasal Surgery for Pituitary Adenomas

Abstract

Juan L Gómez-Amador, Jaime J Martínez-Anda, Andres H Morales-Martínez, Carolina De La Llata-Segura Juan Barges-Coll and José J Martínez-Manrique

Objective: To describe a case series of patients with pituitary adenomas with endoscopic endonasal transsphenoidal approach, the technique performed and complications in our centre.
Methods: The technique performed in a series of 98 consecutive patients, and description of their complications and the protocol followed to treat these complications.
Results: 120 patients where submitted to Skull Base Endoscopic Surgery, of which 98 (81.66%) had diagnosis of non-functioning pituitary adenoma in a two year period. Complications described are postoperative cerebrospinal fluid leaks (6.12%), vascular injury (3.06%) and cranial nerve injury (2.04%).
Conclusion: A specific protocol is followed in our institution to treat different complications in pituitary adenoma transnasal endoscopic surgery in order to improve outcomes. Prompt and diligent identification of complications is of utmost importance for their treatment.