Transcranial arterial coagulation with cardiac standstill after catastrophic frontopolar artery injury during endoscopic endonasal resection of tuberculum sellae meningioma: illustrative case
This case underscores the severity of arterial injuries during EESBS and the importance of prompt, adaptable management. Core mitigation strategies include early recognition, precise localization of the bleeding vessel, aggressive packing, and timely conversion to an alternative approach, such as a transcranial route, when endonasal control fails. https://thejns.org/doi/10.3171/CASE25281.
Authors
- Angelo Augusto M. Sumalde (ORCID: https://orcid.org/0000-0003-2857-2601)
- Gerardo D. Legaspi
- Edmund John B. Cayanong (ORCID: https://orcid.org/0000-0002-8915-4131)
- Arsenio Claro A. Cabungcal (ORCID: https://orcid.org/0000-0002-0451-9489)
- Juan Silvestre G. Pascual (ORCID: https://orcid.org/0000-0003-4611-3011)
- Kenny Seng (ORCID: https://orcid.org/0009-0006-0949-2883)
- Deli Tan (ORCID: https://orcid.org/0009-0004-6775-8841)
Institutions
- Philippine General Hospital (PH)
- University of the Philippines Manila (PH)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-09-22
- DOI
- https://doi.org/10.3171/case25281
- Primary Topic
- Head and Neck Surgical Oncology
- Type
- article
- Field-Weighted Citation Impact
- 0.00