Conservative Management of Pituitary Macroadenoma Contacting the Optic Apparatus
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چکیده
منابع مشابه
Management of a patient with schizophrenia and underlying pituitary macroadenoma.
Dear Editor, Hyperprolactinemia was found to be prevalent in a multi-centred study of 402 patients with schizophrenia, schizoaffective disorder and schizophreniform disorder treated with conventional antipsychotics and Risperidone.1 Antipsychotics inhibit the dopamine receptors and induce hyperprolactinemia via the tubulo-infundibular pathway, with subsequent downstream effects on multiple syst...
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Pituitary tumor apoplexy is a rare neuroendocrine syndrome resulting, in most cases, from hemorrhage or infarctation of a pre-existing pituitary adenoma. Treatment recommendations vary; some authors advocate urgent surgical decompression of the tumor, whereas others suggest that conservative management can lead to recovery of neuro-ophthalmologic function. We describe two patients with pituitar...
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Lymphocytic hypophysitis is an inflammatory /autoimmune disorder that primarily involves the pituitary gland and the pituitary stalk. The common clinical presentations include headache, nausea, vomiting, fatigue, features of hypopituitarism and diabetes insipidus as well as diplopia, orbital pain and bitemporal hemianopia. We report a case of lymphocytic hypophysitis which presented as hemichor...
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Lymphocytic hypophysitis is an uncommon disease with a variable presentation and unclear pathophysiology. We present the case of a 30 year old woman who presented with features typical of a pituitary macroadenoma. She underwent a transphenoidal resection of the mass and histopathological examination revealed lymphocytic hypophysitis. This case illustrates the difficulty in differentiating pitui...
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with radiation) is the most common treatment option. Treatment of adenomas with surgery alone is associated with a 9% risk of significant complications other than hypothyroidism. Additionally, there is a significant recurrence risk with surgical treatment alone. Park et al found a 5-year recurrence rate of 15.2% and a 10-year recurrence rate of 50.5% for 132 patients having nonfunctioning macro...
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ژورنال
عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
سال: 2010
ISSN: 0317-1671,2057-0155
DOI: 10.1017/s0317167100051532