Results of Surgical Treatment of Pituitary Adenomas in the Neurosurgery Clinic UH Olomouc
Authors:
D. Krahulík 1; L. Hrabálek 1; M. Vaverka 1; J. Macháč 1; M. Hampl 1; J. Hoza 2; Z. Fryšák 3
Authors place of work:
LF UP a FN Olomouc
Neurochirurgická klinika
1; LF UP a FN Olomouc
Otorinolaryngologická klinika
2; LF UP a FN Olomouc
III. interní klinika
3
Published in the journal:
Cesk Slov Neurol N 2014; 77/110(5): 608-611
Category:
Short Communication
Summary
Pituitary adenomas constitute 10–15% of intracranial tumours. At present, a combination of medical, neurosurgical and radiosurgical modalities is applied to treat them. Successful treatment requires close collaboration between an endocrinologist, neurosurgeon and radiosurgeon. The authors present a series of 80 consecutive cases of pituitary adenoma treated, in cooperation with an otorhinolaryngologist, with endoscopic endonasal surgery. Nineteen secreting adenomas and 61 non-secreting tumours were treated. 70% of adenomas were macroadenomas. A follow up MRI after three months showed radical surgery in 76%. Morbidity and mortality results of this series are similar to other larger published series.
Key words:
pituitary adenoma – endonasal endo-scopic surgery – endocrinology
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.
Zdroje
1. Nistor R. Pituitary tumours. In: Palmer JD (ed). Manual of neurosurgery. New York: Churchill Livingstone 1996: 264– 272.
2. Asa SL, Kovacs K. Clinically non‑functioning human pituitary adenomas. Can J Neurol Sci 1992; 19(2): 228– 235.
3. Horvath E, Kovacs K. Ultrastructural diagnosis of human pituitary adenomas. Microsc Res Tech 1992; 20(2): 107– 135.
4. Netuka D, Masopust V, Beneš V. Léčba adenomů hypofýzy. Cesk Slov Neurol N 2011; 74/ 107(3): 240– 253.
5. Webster J, Piscitelli G, Polli A, Ferrari C, Ismail I, Scanlon M. A comparison of cabergoline and bromcriptine in the treatment of hyperprolactineminic amenorrhea. N Engl J Med 1994; 331(14): 904– 909.
6. Colao A, Di Sarno A, Sarnacchiaro S, Ferone D, Di Renzo G, Merola B et al. Prolactinomas resistant to standard dopamine agonists to chronic cabergoline treatment. J Clin Endocrinol Metab 1997; 82(3): 876– 883.
7. Jane J jr, Starke R, Elzoghby M, Reames D, Payne S,Thorner M et al. Endoscopic transsphenoidal surgery for acromegaly: remission using modern criteria, complications and predictors of outcome. J Clin Endocrinol Metab 2011; 96(9): 2732– 2740. doi: 10.1210/ jc.2011‑ 0554.
8. Murad M, Fernández‑ Balsells M, Barwise A, Gallegos‑ Orozco J, Paul A, Lane M et al. Outcomes of surgical treatment for nonfunctioning pituitary adenomas: a systematic review and meta‑analysis. Clin Endocrinol (Oxf) 2010; 73(6): 777– 791. doi: 10.1111/ j.1365‑ 2265.2010.03875.x.
9. Halvorsen H, Ramm‑ Pettersen J, Josefsen R, Rønning P, Meling T, Berg‑ Johnsen J el al. Surgical complications after transsphenoidal microscopic and endoscopic surgery for pituitary adenoma: a onsecutive series of 506 procedures. Acta Neurochirurgica 2014; 156(3): 441– 449. doi: 10.1007/ s00701‑ 013‑ 1959‑ 7.
10. Jho HD. Endoscopic transsphenoidal surgery. J Neurooncol 2001; 54(2): 187– 195.
11. Martin C, Schwartz R, Jolesz F, Black P. Transsphenoidal resection of pituitary adenomas in an intraoperative MRI unit. Pituitary 1999; 2(2): 155– 162.
12. Laws R jr, Thapar K. Pituitary surgery. Endocrinol Metab Clin North Am 1999; 28(1): 119– 131.
13. Netuka D, Masopust V, Belšán T, Kramář F, Beneš V.One year experience with 3.0 T intraoperative MRI in pituitary surgery. Acta Neurochir Suppl 2011; 109: 157– 159. doi: 10.1007/ 978‑ 3‑ 211‑ 99651‑ 5_24.
14. Netuka D, Masopust V, Belšán T, Kramář F, Beneš V.První zkušenosti s použitím intraoperační MR při operacích adenomů hypofýzy. Cesk Slov Neurol N 2009; 72/ 105(1): 45– 50.
15. Česák T, Náhlovský J, Hosszu T, Řehák L, Látr I et al. Longitudinální sledování růstu pooperačních reziduí afunkčních adenomů hypofýzy. Cesk Slov Neurol N 2009; 72/ 105(2): 115– 124.
16. Matoušek P, Lipina R, Paleček T, Hrbáč T, Komínek P.Endoskopická transnazální chirurgie hypofýzy – výhody spolupráce otorinolaryngologa a neurochirurga. Cesk Slov Neurol N 2010; 73/ 106(5): 542– 545.
Štítky
Paediatric neurology Neurosurgery NeurologyČlánok vyšiel v časopise
Czech and Slovak Neurology and Neurosurgery
2014 Číslo 5
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Memantine Eases Daily Life for Patients and Caregivers
- Spasmolytic Effect of Metamizole
Najčítanejšie v tomto čísle
- Czech Training Version of the Montreal Cognitive Assessment (MoCA‑ CZ1) for Early Identification of Alzheimer Disease
- Leukodystrophies – Clical and Radiological Findings
- Barriers of Nervous System under Physiological and Pathological Conditions
- Surgical Treatment of Supratentorial Cortico‑ subcortical Cavernous Malformation