라스케씨 열낭종에 대한 비중격 피판을 이용한 내시경적 조대술 이후 발생한 두개내 출혈 1예

A case of intracranial hemorrhage after endoscopic marsupialization of Rathke’s cleft cyst with nasoseptal flap

Rathke’s cleft cyst (RCC) is a benign tumor that occurs in the pituitary or suprasellar region. Recently, marsupialization of RCC with nasoseptal flap is used to prevent stricture and recurrence after marsupialization. A 26-year-old female with recurrent RCC treated with marsupialization using nasoseptal flap, had intracranial hemorrhage after the surgery. Bleeding from the flap margin is considered to be the cause of the intracranial hemorrhage. Surgeons should be aware of the potential for this type of delayed hemorrhage when utilizing a nasoseptal flap in skull base surgery.