caa a22 4500 445357002 CHVBK 20180317142903.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s10072-011-0482-y doi (NATIONALLICENCE)springer-10.1007/s10072-011-0482-y Unusual cause of cerebral vasospasm after pituitary surgery [Elektronische Daten] [K. Popugaev, I. Savin, A. Lubnin, A. Goriachev, B. Kadashev, P. Kalinin, I. Pronin, A. Oshorov, M. Kutin] 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 12days. 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. Springer-Verlag, 2011 Cerebral vasospasm nationallicence Meningitis nationallicence Pituitary surgery nationallicence Pituitary adenoma nationallicence Antibiotic therapy nationallicence Popugaev K. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut Savin I. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut Lubnin A. Neuroanaesthesia Department, Burdenko Neurosurgical Research Institute, Moscow, Russia aut Goriachev A. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut Kadashev B. Department of Pituitary Surgery, Burdenko Neurosurgical Research Institute, Moscow, Russia aut Kalinin P. Department of Pituitary Surgery, Burdenko Neurosurgical Research Institute, Moscow, Russia aut Pronin I. Department of Radiology, Burdenko Neurosurgical Research Institute, Moscow, Russia aut Oshorov A. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut Kutin M. Department of Pituitary Surgery, Burdenko Neurosurgical Research Institute, Moscow, Russia aut Neurological Sciences Springer Milan 32/4(2011-08-01), 673-680 1590-1874 32:4<673 2011 32 10072 https://doi.org/10.1007/s10072-011-0482-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0482-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Popugaev K. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut NATIONALLICENCE 700 1- Savin I. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut NATIONALLICENCE 700 1- Lubnin A. Neuroanaesthesia Department, Burdenko Neurosurgical Research Institute, Moscow, Russia aut NATIONALLICENCE 700 1- Goriachev A. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut NATIONALLICENCE 700 1- Kadashev B. Department of Pituitary Surgery, Burdenko Neurosurgical Research Institute, Moscow, Russia aut NATIONALLICENCE 700 1- Kalinin P. Department of Pituitary Surgery, Burdenko Neurosurgical Research Institute, Moscow, Russia aut NATIONALLICENCE 700 1- Pronin I. Department of Radiology, Burdenko Neurosurgical Research Institute, Moscow, Russia aut NATIONALLICENCE 700 1- Oshorov A. Neurocritical Care Department, Burdenko Neurosurgical Research Institute, Russian Academy of Medical Sciences, 4-th Tverskaya-Yamskaya, 16, 125147, Moscow, Russia aut NATIONALLICENCE 700 1- Kutin M. Department of Pituitary Surgery, Burdenko Neurosurgical Research Institute, Moscow, Russia aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/4(2011-08-01), 673-680 1590-1874 32:4<673 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer