Clinical Features of Pituitary Apoplexy
Symptoms or signs Percentage of patients Headache Up to 100 % Nausea and vomiting 40–70 % Meningeal irritation 25 % Photophobia 33 % Mental deterioration 20 % Ocular paresis (diplopia…
Visual Acuity, Eye Movements and Visual Fields
Fig. 10.1 Anatomy of the pituitary fossa and cavernous sinus (Adapted with kind permission from Gray (1918); Bartleby.com, 2000. www.bartleby.com/107) 10.4 Neuro-ophthalmological Signs in Acute Pituitary Apoplexy The literature describing…
Subarachnoid Haemorrhage After Transsphenoidal Surgery
Fig. 20.1 Preoperative Contrast MRI of the Brain reveal a sellar surprasellar mass lesion with significant subfrontal extension Lowerate bulging into Sphenoid Sinus: (a) Axial, (b, c) Sagittal and (d)…
Hypothalamic Lymphoma
Fig. 15.1 Enhanced CT scan on axial view (a) and sagittal T2-weighted MRI (b) showing a bilateral hypothalamic lymphoma with suprasellar extension, optic chiasm infiltration and brainstem involvement Fig. 15.2…
Nonfunctioning Pituitary Tumour Apoplexy
Precipitating factors in pituitary apoplexy Head trauma Major surgery – especially coronary artery bypass surgery, but also aortic abdominal aneurysm surgery, cholecystectomy, shoulder arthroplasty and others Hypotension Hypertension Pregnancy Oestrogen…
Timing of Surgery and Outcome in Pituitary Apoplexy
Mehmet Turgut, Ashok Kumar Mahapatra, Michael Powell and Natarajan Muthukumar (eds.)Pituitary Apoplexy201410.1007/978-3-642-38508-7_19 © Springer-Verlag Berlin Heidelberg 2014 19. Timing of Surgery and Outcome in Pituitary Apoplexy Natarajan Muthukumar1 (1) Department of Neurosurgery, Madurai Medical College, Muruganagam, 138, Anna…
Conservative Management of Pituitary Apoplexy
Author (years) Ayuk et al. (2004) Gruber et al. (2006) Sibal et al. (2004) Type of management Conservative Surgery P Conservative Surgery P Conservative Surgery P N 18 15 –…
Endocrinopathies and Other Biochemical Abnormalities in Pituitary Apoplexy
Author Hormone deficiency (%) N Ayuk et al. (2004) Cortisol 72/87a 33 Thyroid 60/72 Gonadotrophin 67/83 Bills et al. (1993) Cortisol 82 33 Thyroid 89 Gonadotrophin 64 ADH 11 Da…
Preoperative Endocrine Function and Fluid Electrolyte Balance
Study No. of participants ACTH Prolactin GH FSH or LH TSH Leyer et al. (2011) 40 2 (5 %) 4 (10 %) 3 (7.5 %) 0 0 Zhang et al….
Visual Outcome Following Pituitary Apoplexy
Authors Total no. of patients Patients in whom tumour decompression was done Improvement Peter et al. (1995) 53 53 Improvement of VA in 82 % and VF in 89 %…
