Pituitary apoplexy surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Neurological decompression | [[Neurological]] decompression is done once the patient is [[hemodynamically]] stable. [[Surgery]] relieves pressure on the [[Pituitary gland|pituitary]] and improves [[Visual field defect|visual field defects]] and ocular palsy.<ref name="pmid27772771">{{cite journal |vauthors=Tu M, Lu Q, Zhu P, Zheng W |title=Surgical versus non-surgical treatment for pituitary apoplexy: A systematic review and meta-analysis |journal=J. Neurol. Sci. |volume=370 |issue= |pages=258–262 |year=2016 |pmid=27772771 |doi=10.1016/j.jns.2016.09.047 |url=}}</ref><ref name="SempleWebb2005">{{cite journal|last1=Semple|first1=Patrick L.|last2=Webb|first2=Michael K.|last3=de Villiers|first3=Jacques C.|last4=Laws|first4=Edward R.|title=Pituitary Apoplexy|journal=Neurosurgery|volume=56|issue=1|year=2005|pages=65–73|issn=0148-396X|doi=10.1227/01.NEU.0000144840.55247.38}}</ref> | ||
==Surgery== | |||
[[Neurological]] decompression is done once the patient is [[hemodynamically]] stable. [[Surgery]] relieves pressure on the [[Pituitary gland|pituitary]] and improves [[Visual field defect|visual field defects]] and ocular palsy. Early decompression has been associated with better [[visual]] and [[endocrine]] outcomes. The nature of surgical approach depends upon the presentation of the [[patient]] and can be either:<ref name="pmid2166068">{{cite journal |vauthors=Arafah BM, Harrington JF, Madhoun ZT, Selman WR |title=Improvement of pituitary function after surgical decompression for pituitary tumor apoplexy |journal=J. Clin. Endocrinol. Metab. |volume=71 |issue=2 |pages=323–8 |year=1990 |pmid=2166068 |doi=10.1210/jcem-71-2-323 |url=}}</ref> | |||
*Transsphenoidal approach (more common) | |||
*Open [[craniotomy]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Medicine]] | |||
[[Category:Up-To-Date]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 16:27, 18 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Neurological decompression is done once the patient is hemodynamically stable. Surgery relieves pressure on the pituitary and improves visual field defects and ocular palsy.[1][2]
Surgery
Neurological decompression is done once the patient is hemodynamically stable. Surgery relieves pressure on the pituitary and improves visual field defects and ocular palsy. Early decompression has been associated with better visual and endocrine outcomes. The nature of surgical approach depends upon the presentation of the patient and can be either:[3]
- Transsphenoidal approach (more common)
- Open craniotomy
References
- ↑ Tu M, Lu Q, Zhu P, Zheng W (2016). "Surgical versus non-surgical treatment for pituitary apoplexy: A systematic review and meta-analysis". J. Neurol. Sci. 370: 258–262. doi:10.1016/j.jns.2016.09.047. PMID 27772771.
- ↑ Semple, Patrick L.; Webb, Michael K.; de Villiers, Jacques C.; Laws, Edward R. (2005). "Pituitary Apoplexy". Neurosurgery. 56 (1): 65–73. doi:10.1227/01.NEU.0000144840.55247.38. ISSN 0148-396X.
- ↑ Arafah BM, Harrington JF, Madhoun ZT, Selman WR (1990). "Improvement of pituitary function after surgical decompression for pituitary tumor apoplexy". J. Clin. Endocrinol. Metab. 71 (2): 323–8. doi:10.1210/jcem-71-2-323. PMID 2166068.