Introduction: Transsphenoidal approach is one of the most used surgical techniques for the treatment of tumors involving the sellar, parasellar, and suprasellar region. This area poses a high-surgical challenge due to its anatomical relationships. Meningiomas of the sphenoid wings are a frequent cause of lesions in these locations, extending to the orbit in some cases. Long-standing meningiomas may grow to involve vascular structures. Arterial cerebral vasospasm (ACV) is a rare complication of transsphenoidal surgery.