[01] Guru Dutta Satyarthee, Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India. [02] Ribhav Pasricha, Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.

Occurrence of symptomatic chronic subdural haematoma (SDH) following transsphenoidal decompression of pituitary adenoma, which needed surgical evacuation, is not reported. Author reports a case of symptomatic chronic subdural haematoma observed in a series of 480-transsphenoidal surgery. A 52-year old female underwent transsphenoidal surgery for pituitary adenoma. She developed cerebrospinal fluid (C. S. F) rhinorrhoea in the immediate post-operative period, which responded to conservative therapy. She presented with severe headache and paresis of left lower limbs one month after cessation of C. S. F. rhinorrhoea, which necessitated burr hole evacuation of chronic subdural haematoma following which, noticed complete resolution of headache and limb paresis. Management of such cases and pertinent literature is reviewed briefly.

Pituitary Adenoma, Trans-Sphenoid Surgery, Chronic Subdural Haematoma, Management

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