{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:17:32Z","timestamp":1787840252607,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cerebral vasospasm (CVS) due to injuries to arteries of the circle of willies has been reported in transsphenoidal pituitary surgeries. However, the incidence of delayed vasospasm following endoscopic transsphenoidal surgery is rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Total 569 pituitary adenomas were operated on by endoscopic transsphenoidal approach from January 2016 to February 2020. We retrospectively described two cases of vasospasm following pituitary surgery from our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe two cases of delayed cerebral vasospasm following endoscopic transsphenoidal surgery and review previous literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of two patients, the Glasgow outcome score (GOS) of one patient was favorable and the other was unfavorable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CVS is rare after transsphenoidal pituitary surgery, which makes its predictability difficult. The clinician should maintain a high index of suspicion in patients with suprasellar extension of the tumor and postoperative hematoma in the tumor bed. Similarly, care should be taken in patients with a subarachnoid hemorrhage in basal cistern, intraoperative arachnoid breach, and postoperative meningitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.349613","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T03:55:57Z","timestamp":1692849357000},"page":"996-1003","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Delayed Vasospasm in Endoscopic Transsphenoidal Pituitary Surgery"],"prefix":"10.4103","volume":"70","author":[{"given":"Gyani J","family":"S Birua","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Tyagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Beniwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narasinga K V","family":"L Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitender","family":"Saini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas","family":"Dwarakanath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-27-20241013","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1136\/bmj.329.7459.218","article-title":"Acute visual loss and pituitary apoplexy after surgery","volume":"329","author":"Abbott","year":"2004","journal-title":"BMJ"},{"key":"R2-27-20241013","first-page":"318","article-title":"Surgical management of pituitary adenomas","volume":"43","author":"Jane","year":"2002","journal-title":"Singapore Med J"},{"key":"R3-27-20241013","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1007\/s00701-007-1244-8","article-title":"Complications of transsphenoidal surgery in patients with pituitary adenoma: Experience at a single center","volume":"149","author":"Barzaghi","year":"2007","journal-title":"Acta Neurochir (Wien"},{"key":"R4-27-20241013","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1227\/00006123-198010000-00012","article-title":"Vasospasm after trans-sphenoidal hypophysectomy","volume":"7","author":"Camp","year":"1980","journal-title":"Neurosurgery"},{"key":"R6-27-20241013","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/BF01404848","article-title":"Vasospasm after resection of skull base tumors","volume":"132","author":"Aoki","year":"1995","journal-title":"Acta Neurochir (Wien"},{"key":"R7-27-20241013","doi-asserted-by":"crossref","first-page":"229","DOI":"10.3171\/jns.1979.50.2.0229","article-title":"Vasospasm following transcranial removal of large pituitary adenomas. 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