The dangers of the “Head Down” position in patients with untreated pituitary macroadenomas: case series and review of literature

ConclusionWe report a brief case series of acute cavernous sinus syndrome resulting from dependent positioning during non-cranial operations in patients with pituitary macroadenoma. Although rare, this highlights a potential danger of “head down” positioning in patients with intracranial pathology—particularly in or around the sella and cavernous sinus. Despite multiple cranial neuropathies upon presentation, both patients made complete recovery following surgical decompression of the cavernous sinuses.
Source: Pituitary - Category: Endocrinology Source Type: research