Image guidance in trans-sphenoidal surgery for giant pituitary adenomas: Luxury or necessity?

The History of Trans-sphenoidal Surgery for Pituitary Tumours

Microscopic Transsphenoidal Surgery for Pituitary Adenomas in Children and Adolescents

Background & Aim: We described the presentation, management and subsequent treatment outcomes of children and adolescents diagnosed with a pituitary adenoma in a joint neuroendocrine setting followed up by a single service as well as assessing long-term outcomes in terms of endocrine status and neurology symptoms. Methods & Materials/Patients: A total of 21 participants with histologically v...

Image guidance in pituitary surgery.

Image guidance in pituitary surgery has evolved since diagnostic imaging of the sellar region was first introduced at the turn of the 20th century. These advances have played a key role in the decrease in morbidity and mortality once associated with pituitary surgery. This chapter details the history of sellar imaging as a preoperative diagnostic aide, and then examines the subsequent developme...

Feasibility of Endoscopic Endonasal Approach for Recurrent Pituitary Adenomas after Microscopic Trans-Sphenoidal Approach

OBJECTIVE The surgical approach for recurrent pituitary adenoma after trans-sphenoidal approach (TSA) is challenging. We report the outcomes of the endoscopic TSA for recurrent pituitary adenoma after microscopic TSA. METHODS From February 2010 to February 2013, endoscopic TSA was performed for removal of 30 recurrent pituitary adenomas after microscopic TSA. Twenty-seven (90%) patients had a...

Visual Fields at Presentation and after Trans-sphenoidal Resection of Pituitary Adenomas

PURPOSE To evaluate visual field changes in patients with pituitary adenomas following trans-sphenoidal surgery. METHODS Eighteen patients with pituitary adenomas underwent a complete ophthalmic assessment and visual field analysis using the Humphrey Field Analyzer 30-2 program before and after trans-sphenoidal surgical resection at the Himalayan Institute of Medical Sciences over a one year ...