Sheehan's syndrome surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Sheehan's syndrome}} | {{Sheehan's syndrome}} | ||
{{CMG}}; {{IQ}} | {{CMG}}; {{AE}}{{IQ}} | ||
==Overview== | ==Overview== | ||
Surgical intervention may be considered when there is emergency presentation, such as [[pituitary apoplexy]] or [[subarachnoid hemorrhage]] causing Sheehan's syndrome to prevent [[hypopituitarism]]. | |||
==Surgery== | ==Surgery== | ||
Surgical intervention may be considered when there is emergency presentation, such as [[pituitary apoplexy]] or [[subarachnoid hemorrhage]] causing Sheehan's syndrome to prevent [[hypopituitarism]]. | |||
*[[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>The nature of surgical approach depends upon the presentation of the [[patient]] and can be either transsphenoidal approach (more common) or open [[craniotomy]]<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> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Medicine]] | |||
[[Category:Endocrinology]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Obstetrics]] | |||
Latest revision as of 00:09, 30 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]
Overview
Surgical intervention may be considered when there is emergency presentation, such as pituitary apoplexy or subarachnoid hemorrhage causing Sheehan's syndrome to prevent hypopituitarism.
Surgery
Surgical intervention may be considered when there is emergency presentation, such as pituitary apoplexy or subarachnoid hemorrhage causing Sheehan's syndrome to prevent hypopituitarism.
- 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]The nature of surgical approach depends upon the presentation of the patient and can be either transsphenoidal approach (more common) or open craniotomy[3]
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.