The urgent surgical treatment of hypothisis adenoma with intratumoral haemorrhage
DOI:
https://doi.org/10.25305/unj.129821Keywords:
аденома гіпофіза, порушення кровообігу в пухлині, інсультоподібний перебіг, гіпофізарна апоплексія, транссфеноїдальна нейрохірургія, гіпопітуїтаризмAbstract
23 cases of urgent neurosurgical treatment and their results were analysed among 74 operations in patients with pituitary adenomas and intratumoral apoplexy. Indications for urgent transsphenoidal surgery in those patients were mental deteriorations, rapid visual loss, and pituitary insufficiency. Better results have been obtained in patients operated within 7 days of onset of disease. Transnasal transsphenoidal approach was mentioned to be adequate and less traumatic in all patients.
References
Вайншенкер Ю.К. Кровоизлияния и некрозы в аденомах гипофиза (синдром питуитарной апоплексии): Автореф. дис. ... канд. мед. наук.:14.00.28. — СПб, 2001. — 24 с.
Гайдар Б.В. Практическая нейрохирургия. — СПб, 2002. — 658 с.
Пацко Я.В., Возняк A.M., Гук А.Н., Пазюк В.А. Аденомы гипофиза у лиц пожилого возраста. Опыт хирургического лечения 102 больных // Вопр. нейрохирургии. — 2001. — №4. — С.14–18.
Arafah B.M., Harrington J.F., Madhoun Z.T., Selinan W.R. Improvement of pituitary function after surgical decompression for pituitary tumor apoplexy // J. Clin. Endocrinol. Metab. — 1990. — V.71. — P.323–325.
Catenoix H., Nighoghossian N., Honnorat J. et al. Necrosis of a hypophyseal adenoma and ischemic cerebral vascular accident // Rev. Neurol. (Paris). — 2002. — V.158, N.6. — P.734–736.
Chacko A.G., Chacko G., Seshadri M.S. et al. Hemorrhagic necrosis of pituitary adenomas // Neurol. India. — 2002. — V.50, N.4. — P.490–493.
Challa V.R., Richards F., Davis C.H. Jr. Intraventricular hemorrhage from pituitary apoplexy // Surg. Neurol. — 1981. — V.16. — P.360–363.
Chen S.T., Chen S.D., Ryu S.J. et al. Pituitary apoplexy with intracerebral hemorrhage simulating rupture of an anterior cerebral artery aneurysm // Surg. Neurol. — 1988. — V.29. — P.322–326.
Clark J.D.A., Freer C.E.L., Wheadey T. Case report: pituitary apoplexy: an unusual cause of stroke // Clin. Radiol. — 1987. — V.38. — P.75–79.
Itoyama Y., Goto S., Miura M. et al. Intracranial arterial vasospasm associated with pituitary apoplexy after head trauma: case report // Neurol. Med. Chir. (Tokyo). — 1990. — V.30. — P.350–354.
White W., Uu S.S. Pituitary apoplexy // Neurovascular Surgery. / Eds. L.P. Carter, R.F. —N.Y.: McGraw-Hill. — 1995. — P.497–519.
Zayour D.H., Selman W.R., Arafah B.M. Extreme elevation of intrasellar pressure in patient with pituitary tumor apoplexy: relation to pituitary function // J. Clin. Endocrinol. Metab. — 2004. — V.89, N.11. — P.5649–5654.
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