|
|
|
Journal of Korean Neurosurgical Society 1995;24(12): 1530-1536. |
| Clinical Analysis of Pituitary Macroadenoma by Transsphenoidal Approach. |
| Jin Han Park, Oh Lyong Kim, Chan Youl Park, Seong Ho Kim, Jang Ho Bae, Byung Yon Choi, Soo Ho Cho |
| Department of Neurosurgery, School of Medicine, Yeungnam University, Taegu, Korea. |
|
|
|
|
|
| ABSTRACT |
|
The authors report the results of transsphenoidal approach(TSA) for pituitary macroadenoma performd over a 2-year period.This series consisted of 15 patients:ten for nonfunctioning, two for prolactinoma, two of cushing's disease, one of acromegaly. The presenting symptom & sign was hyperfunctioning endocrinopathy in 5 patients, headache in 11 patients, visual symptom in 11 patients. TSA was performed without lumbar catheterization and fluoroscopic mornitoring. Success rates were as follows;normalization of endocrinopathy was achieved in 100% of cases;improvement of visual field in 100% of cases. There were no surgical mortality & some complication with three transient diabetes inspidus one hypopituitarysm. Eight of 15 patients who were removed tumor subtotally were received radiotherapy.
Althrough there were short-term follow up(mean 19 months), there was no recurrence. This review reconfirms that the transspenoidal approach is safer and more effective procedure than craniotomy for pituitary macroadenomas. |
| Key Words:
Pituitary macroadenoma; Transsphenoidal approach; Nonfunctioning; Radiotherapy |
|
|
|
Full text via DOI 
Download Citation 
