CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 560-564
DOI: 10.4103/ajns.AJNS_344_16
Original Article

Pituitary adenoma apoplexy: Review of personal series

Riccardo Ricciuti
Division of Neurosurgery, Ospedali Riuniti di Ancona
,
Niccolò Nocchi
Division of Neurosurgery, Ospedali Riuniti di Ancona
,
Giorgio Arnaldi
1   Division of Endocrinology, Ospedali Riuniti di Ancona
,
Gabriele Polonara
2   Division of Radiology, Ospedali Riuniti di Ancona
,
Michele Luzi
Division of Neurosurgery, Ospedali Riuniti di Ancona
› Author Affiliations

Background: Pituitary apoplexy is a life-threatening event with unspecific clinical background and no standardized treatment. Materials and Methods: The authors retrospectively analyzed seventeen patients affected by pituitary adenoma apoplexy and treated in a 10-year period. Thirteen patients underwent surgery through transsphenoidal route while four patients have been treated conservatively. Results: The endoscopic surgical procedure showed a better result in term of complete removal of the tumor while in the “conservative” group less frequent evidence of hormones' deficiency has been registered. Once a residual lesions was observed a strict radiological follow-up is mandatory. Conclusions: According to dedicated literature and pre- and post-operative evidence of personal series, the authors try to provide an algorithm that could help in the standardization of the diagnostic and therapeutic pathways in patients with pituitary adenoma apoplexy.



Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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