Author (year) Case index Pre-/intraoperatively Visual symptoms Comment Voss (1938) 1 Pre Unknown Jefferson (1940) 1 Male GH-secreting adenoma Pre Oculomotor palsy Heavily blood-stained CSF on LP. Radiographs elicited gross…
Fig. 6.1 Sagittal contrast-enhanced MRI (a) and CECT head (b) showing a giant pituitary adenoma with parasellar and subfrontal extensions. Figure (c) showing postoperative pituitary apoplexy in the residual tumour…
Predisposing factors Medications Antithrombotic therapy Dopamine agonists Associated medical conditions Diabetes mellitus Arterial hypertension Surgery Cardiac surgery Others Head trauma Endocrinological testing Regarding different subtypes of pituitary tumours, the prevalence…
Fig. 1.1 Blood supply to the pituitary gland. Note that most of the blood supply to the anterior pituitary is provided by the portal vessels, but the blood supply to…
Mehmet Turgut, Ashok Kumar Mahapatra, Michael Powell and Natarajan Muthukumar (eds.)Pituitary Apoplexy201410.1007/978-3-642-38508-7_2 © Springer-Verlag Berlin Heidelberg 2014 2. Conservative Versus Surgical Decompression for Pituitary Apoplexy Christopher Harrold1 and Harpal Randeva1 (1) Warwickshire Institute for the Study of Diabetes, Endocrinology…
Author(s)/year No. of cases with pituitary apoplexy No. of previously diagnosed tumours with pituitary apoplexy Previously known tumour according to hormone secreted (number) Pelkonen et al. (1978) 9 3 GH…
Minor Haematoma, port-site infection, pneumonia, intestinal paralysis, early acute pain, urinary retention/ infection, seroma Major Bladder injury, bowel injury, small bowel obstruction, big vessel injury, haemorrhage, mesh infection, trocar hernias,…
Inexperienced or unskilled surgeon Failure to sharpen the trocar Failure to elevate or stabilise the abdominal wall Perpendicular insertion of the needle or trocar Lateral deviation of the needle or…
Biliary complications Non-biliary complications Residual stones 0.3–18 % Operative wound (infection) 0.1–7.9 % Biliary fistulae 0.1–0.4 % Haemorrhage 0.2–2.2 % Biliary tract lesions 0.1–0.8 % Respiratory problems 2.0–5.3 % Pancreatitis…
Authors Number of cases Morbidity (%) Mortality (%) Champault (1994) FDCL 940 5 0.3 Dallemagne (1995) (compilation) 2149 1.6 (reinterventions) 3.2.3 Complications/Multicentre Series Another most recent multicentre study of 7531…
