Subarachnoid hemorrhage after transsphenoidal surgery for pituitary adenoma: A case report and review of literature

摘要

A 56-year-old female presented with gradually progressive bilateral visual defect, more in the right eye, for the last 3 years. On examination, the visual acuity in the right eye was hand movements close to face and that in the left eye was 6/9, and fundus examination showed bilateral primary optic atrophy. Perimetry showed bitemporal field defects. Routine biochemistry, coagulation parameters and hormone profile were normal. Magnetic resonance imaging (MRI) revealed a 2 cm x 2 cm x 3 cm-sized isointense sellar-suprasellar mass lesion with enlargement of the sella with significant subfrontal extension [Figure 1].