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Chapter-056 Surgery for Pituitary Adenomas

BOOK TITLE: ESI Manual of Clinical Endocrinology

Author
1. Chacko Ari George
ISBN
9789351526476
DOI
10.5005/jp/books/12535_71
Edition
2/e
Publishing Year
2015
Pages
8
Author Affiliations
1. Christian Medical College, Vellore, Tamil Nadu, India
Chapter keywords
Pituitary adenomas, sella, arachnoid cysts, idiopathic granulomatous hypophysitis, trans-sphenoidal surgery, endoscopic pituitary surgery, Cushing’s disease, hyponatremia, transcranial pituitary surgery, hemorrhagic pituitary adenomas

Abstract

Pituitary adenomas and craniopharyngiomas are the most common pathologies of sella that requires surgery. The other lesions for also which surgery is required are: Rathke’s cleft cysts, arachnoid cysts, tuberculosis, fungal infections, idiopathic granulomatous hypophysitis, and germinomas. The two evaluations discussed are: preoperative visual field and hormonal evaluation, and radiological evaluation. Trans-sphenoidal surgery topic describes about endoscopic trans-sphenoidal surgery, expanded endoscopic trans-sphenoidal surgery, and microscopic versus endoscopic pituitary surgery. The outcome of the trans-sphenoidal surgery mentions about the visuals, hormonal outcomes, atypical pituitary outcomes, outcomes in functional pituitary adenomas, Cushing’s disease, complications of trans-sphenoidal surgery, postoperative tumor bed hematoma, delayed hyponatremia, transcranial pituitary surgery, and hemorrhagic pituitary adenomas.

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