Pituitary adenomas (PAs) are common benign intracranial neoplasms. Transsphenoidal resection is the standard of care for symptomatic tumors, with surgical complications including CSF leakage, infection, hormonal disturbances, and postoperative hematomas leading to visual decline. Rapid postoperative cyst development leading to acute visual deterioration is a rare but potentially significant complication....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists — this is a neurosurgical case report with no direct relevance to audiology practice.
While peripheral to audiology, pituitary pathology occasionally intersects with audiovestibular symptoms; this case highlights a rare post-operative complication that surgeons and multidisciplinary teams should recognise.
- 01Case report of acute vision loss following endoscopic transsphenoidal pituitary adenoma removal.
- 02Vision deterioration was caused by a de novo cyst arising from normal pituitary tissue, not tumour recurrence.
- 03Published in Journal of Neurosurgery Case Lessons as a single illustrative case.
- 04Highlights the importance of post-operative monitoring for unexpected structural changes after pituitary surgery.
Acute visual deterioration following endoscopic transsphenoidal resection can be caused by a de novo cyst of normal pituitary origin.
studypartially supported- PMID
- 42933001
- DOI
- 10.3171/CASE26459.
- Journal
- Journal of Neurosurgery Case Lessons
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single adult patient who underwent endoscopic transsphenoidal pituitary adenoma resection and developed post-operative acute visual deterioration.
- Intervention
- Endoscopic transsphenoidal resection of pituitary adenoma
Primary outcomes
Characterisation of de novo pituitary cyst as cause of post-operative visual deterioration