#Recurrent #pituitary #adenoma #endoscopic #endonasal #strategy #dural #suturing #closure
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54-year-old man with non-functioning macroadenoma. First craniotomy in 2003. In 2004 he underwent transnasal endoscopic surgical procedure, which developed with CSF leak, and was reoperated on the time.
In the identical 12 months he underwent stereotactic radiosurgery. Developed with bilateral visible discount, reaching amaurosis within the left eye. In 2020 he underwent craniotomy once more, with no enchancment in his visible situation and headache.
Because the CT of the sinus of the face confirmed that the nasal septum was apparently preserved, an endonasal endoscopic strategy was carried out for resection of the lesion.
It was potential to suture the remaining dura mater for closure.
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