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 –…
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. 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…
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. 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…
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…
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…