{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:14:22Z","timestamp":1783674862119,"version":"3.55.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intracranial pseudoaneurysm after transsphenoidal surgery (TSS) is rare, particularly in the anterior communicating artery (AcomA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>A 47-year-old female underwent extended TSS for a giant pituitary adenoma with gross-total resection. She developed a subarachnoid hemorrhage on the night of surgery. Angiography revealed a ruptured AcomA pseudoaneurysm, which was successfully treated with coil embolization. The patient achieved good recovery (modified Rankin Scale 1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early postoperative hemorrhage after TSS should prompt early vascular imaging, as timely endovascular treatment can be life-saving.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_474_2026","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T08:22:28Z","timestamp":1783671748000},"page":"392","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early rupture of an anterior communicating artery pseudoaneurysm after transsphenoidal surgery: A case report and clinical implications"],"prefix":"10.25259","volume":"17","author":[{"given":"Satoshi","family":"Shitara","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Subarukai Kotoh Memorial Hospital, Higashiomi, Japan"},{"name":"Department of Neurosurgery, Shiga University of Medical Science, Otsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Yamagishi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Subarukai Kotoh Memorial Hospital, Higashiomi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisao","family":"Hirai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Subarukai Kotoh Memorial Hospital, Higashiomi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"10.25259\/SNI_474_2026\/ref-1","doi-asserted-by":"crossref","first-page":"293","DOI":"10.3171\/jns.2002.97.2.0293","article-title":"Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas","volume":"97","author":"Cappabianca","year":"2002","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_474_2026\/ref-2","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1177\/159101991301900116","article-title":"Endovascular management of vascular injury during transsphenoidal surgery","volume":"19","author":"Cinar","year":"2013","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_474_2026\/ref-3","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/00006123-199702000-00001","article-title":"Complications of transsphenoidal surgery: Results of a national survey, review of the literature, and personal experience","volume":"40","author":"Ciric","year":"1997","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_474_2026\/ref-4","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.surneu.2005.12.010","article-title":"Endonasal transsphenoidal surgery: The patient\u2019s perspective-survey results from 259 patients","volume":"65","author":"Dusick","year":"2006","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_474_2026\/ref-5","doi-asserted-by":"crossref","first-page":"20","DOI":"10.25259\/SNI_860_2020","article-title":"Treatment of an anterior cerebral artery pseudoaneurysm secondary to a transsphenoidal surgery using stent-assisted coiling","volume":"12","author":"Ishida","year":"2021","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_474_2026\/ref-6","doi-asserted-by":"crossref","first-page":"1255768","DOI":"10.3389\/fonc.2023.1255768","article-title":"Surgical management of giant pituitary adenomas: Institutional experience and clinical outcomes of 94 patients","volume":"13","author":"Ke","year":"2023","journal-title":"Front Oncol"},{"key":"10.25259\/SNI_474_2026\/ref-7","doi-asserted-by":"crossref","first-page":"823","DOI":"10.3171\/jns.1985.63.6.0823","article-title":"Transsphenoidal surgery following unsuccessful prior therapy. An assessment of benefits and risks in 158 patients","volume":"63","author":"Laws","year":"1985","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_474_2026\/ref-8","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/S0967-5868(98)90291-0","article-title":"Pseudoaneurysm of anterior communicating artery following transsphenoidal surgery for craniopharyngioma","volume":"5","author":"Malik","year":"1998","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_474_2026\/ref-9","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1227\/NEU.0000000000001180","article-title":"Managing arterial injury in endoscopic skull base surgery: Case series and review of the literature","volume":"13","author":"Romero","year":"2017","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"10.25259\/SNI_474_2026\/ref-10","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/0090-3019(83)90110-6","article-title":"Rupture of anterior communicating artery aneurysm during transsphenoidal surgery for pituitary adenoma","volume":"20","author":"Tsuchida","year":"1983","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_474_2026\/ref-11","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1016\/j.otc.2011.06.009","article-title":"Carotid artery injury after endonasal surgery","volume":"44","author":"Valentine","year":"2011","journal-title":"Otolaryngol Clin North Am"},{"key":"10.25259\/SNI_474_2026\/ref-12","doi-asserted-by":"crossref","first-page":"582","DOI":"10.3389\/fneur.2020.00582","article-title":"Intracranial pseudoaneurysms: Evaluation and management","volume":"11","author":"Zheng","year":"2020","journal-title":"Front Neurol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/early-rupture-of-an-anterior-communicating-artery-pseudoaneurysm-after-transsphenoidal-surgery-a-case-report-and-clinical-implications\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/early-rupture-of-an-anterior-communicating-artery-pseudoaneurysm-after-transsphenoidal-surgery-a-case-report-and-clinical-implications\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T08:22:30Z","timestamp":1783671750000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/early-rupture-of-an-anterior-communicating-artery-pseudoaneurysm-after-transsphenoidal-surgery-a-case-report-and-clinical-implications\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,10]]},"references-count":12,"alternative-id":["10.25259\/SNI_474_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_474_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,10]]},"article-number":"392"}}