Sphenoid Wall Dehiscence: A Preventable Cause of Iatrogenic Internal Carotid Artery Rupture

Prashant Punia

doi:10.19080/oajnn.2020.14.555885

Abstract

Minimally Invasive approaches to pituitary tumor have become gold standard not just for pituitary surgery but also for pathologies of ventral skull base [1]. It is due to the fantastic view it offers and the ease of doing surgery. The same, however, are not without complications and rupture of Internal Carotid Artery (ICA) is potentially the most catastrophic and thus, most feared [2].

Highlights

Invasive approaches to pituitary tumor have become gold standard not just for pituitary surgery and for pathologies of ventral skull base [1]
Internal Carotid Artery (ICA) is unique in presenting the number of curvatures intracranial, especially through its passage out of carotid canal and along the side of sphenoid bone where its form resembles the English alphabet S[3].The incidence of ICA rupture in trans sphenoidal surgeries is 1.1% [4] and is limited to a few case reports
Studious assessment of preoperative Computed Tomography (CT) scan of brain and paranasal sinuses cannot be overstressed as the extent of pneumatisation of sphenoid sinus must be noted along with the position of its septum

Summary

Mini Review

Open Access J Neurol Neurosurg Copyright © All rights are reserved by Sook Jeong Lee Sphenoid Wall Dehiscence: A Preventable Cause of Iatrogenic Internal Carotid Artery Rupture Keywords: Pituitary surgery complications, sphenoid wall dehiscence, internal carotid artery rupture, TNTS complications • All sources of financial and material support including the following: NA • Any portion of the contents of the paper may have not been presented or published previously.

Introduction

Preoperative preparedness

Intraoperative preparedness

Findings

This work is licensed under Creative