Transphenoidal surgery for pituitary apoplexy: Left eye 3rd nerve palsy. There has been interval postoperative findings related to transphenoidal surgery. There is a non-enhancing area in the left sella alongside the left cavernous sinus, which measures 10 mm in width, 8 mm in height, and 5 mm anteroposteriorly, which may represent residual hemostatic agent or necrotic pituitary tumor, but there is no mass effect upon the optic apparatus. The pituitary infundibulum is slightly deviated to the right. There is interval resolution of the diffuse dural thickening and enhancement. There is scattered cerebral white matter T2 hyperintensity, which may be related to chronic small vessel ischemic disease. There is a small amount of residual mucosal thickening in the sphenoid sinuses.
1. Interval postoperative findings related to transphenoidal surgery for resection of an infarcted pituitary adenoma with no residual massa effect upon the optic apparatus.2. Interval resolution of the diffuse dural thickening and enhancement.