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…
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…
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 –…
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…
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….
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 %…
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…
