Pituitary apoplexy surgery: Difference between revisions
Akshun Kalia (talk | contribs) |
|||
| Line 7: | Line 7: | ||
==Surgery== | ==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.<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> | [[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) | *Transsphenoidal approach (more common) | ||
*Open [[craniotomy]] | *Open [[craniotomy]] | ||
==References== | ==References== | ||
Revision as of 15:07, 11 August 2017
|
Pituitary apoplexy Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Pituitary apoplexy surgery On the Web |
|
American Roentgen Ray Society Images of Pituitary apoplexy surgery |
|
Risk calculators and risk factors for Pituitary apoplexy surgery |
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.[1] Surgery relieves pressure on the pituitary and improves visual field defects and ocular palsy.[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
- ↑ 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.
- ↑ 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.
- ↑ 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.