2025 Proffered Presentations
V126: ENDOSCOPIC ENDONASAL TRANSCAVERNOUS APPROACH FOR REMOVAL OF PITUITARY MACROADENOMA WITH APOPLEXY: TECHNICAL NUANCES
Adnan H Shahid, MBBS, MS, MCh; Mehdi Khaleghi, MD; Sudhir Suggala, MBBS, MS, MCh; Danner Butler, BS; Garrett Dyess; Ursula Hummel, MHS, PAC; Mark Gacek, MD; Jai D Thakur, MD; University of South Alabama Mobile
A 67-year-old male presented with acute left-sided vision loss, headache, and complete CN III and VI palsy, with a sellar mass extending to the left cavernous sinus and suprasellar chiasmatic compression. An endonasal trans-cavernous approach was used for tumor removal from the superior and inferior compartments, achieving gross total resection. The patient was discharged on POD-2, showing complete improvement of the CN III and VI function with a peripheral visual field exam at 1 year-follow-up.