Pituitary Adenoma Pneumo-Apoplexy

Tension pneumosella has been recognized as a very rare complication of pituitary transsphenoidal surgery. To the best of our knowledge, we report the second case of a pituitary adenoma pneumo-apoplexy, which is characterized by findings consistent with tension pneumosella in the context of apoplexy of a pituitary adenoma; although it is an extremely rare diagnosis, it should be considered in patients with compatible clinical and radiological findings, particularly with a previous history of transsphenoidal pituitary surgery.

Automated summary

Tension pneumosella is a very rare complication of pituitary transsphenoidal surgery. We report the second case of pituitary adenoma pneumo-apoplexy, characterized by findings consistent with tension pneumosella in the context of apoplexy of a pituitary adenoma. Although it is an extremely rare diagnosis, it should be considered in patients with compatible clinical and radiological findings, particularly with a previous history of transsphenoidal pituitary surgery.