Management of cerebrospinal fluid leak after surgical removal of pituitary adenomas

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Surgical management of pituitary adenomas.

As experience with endocrine diagnosis, radiologic evaluation, and transsphenoidal microsurgery has accumulated, more effective therapy has become available for patients with pituitary adenomas. The amelioration of the various endocrinopathies and the potential for restoration of vision in patients with visual impairment make this aspect of modern neurosurgery most satisfying, both for the pati...

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Traumatic Cerebrospinal Fluid Leak: Diagnosis and Management

Cerebrospinal fluid (CSF) leaks are one of the common complications after traumatic brain injuries (TBI). The risks of CSF leaks can be detrimental to the outcomes of the patients. Early diagnosis and proper management is imperative for it is strongly associated with a better long-term prognosis of the patients. Diagnostic tools for CSF leaks are still under debate. Nevertheless, many reports o...

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Management of intra-operative cerebrospinal fluid leak following endoscopic trans-sphenoidal pituitary surgery.

OBJECTIVE Cerebrospinal fluid leakage is the most common complication of endoscopic trans-sphenoidal pituitary surgery. However, there is no uniformly accepted way of managing this complication when it occurs intra-operatively. This paper describes a quick, simple technique, involving layered fibrin glue and gelatin sponge, which does not compromise post-operative patient follow up. METHOD Re...

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Management of Pituitary Adenomas: Mononostril Endoscopic Transsphenoidal Surgery

Introduction: The endoscopic transsphenoidal approach for pituitary adenomas and other sellar lesions is quickly becoming the procedure of choice in their surgical management. The most common approach is binostril three-hand technique which requires a large exposure and subjects both nasal cavities to potential trauma. To reduce nasal morbidity, we employ a mononostril two-hand technique with t...

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Postoperative rhinorrhea without intraoperative cerebrospinal fluid leak after endoscopic transnasal transphenoidal surgery for pituitary macroadenomas.

Copyright © 2014 Nikolaos Gkekas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In accordance of the Creative Commons Attribution License all Copyrights © 2014 are reserved for SCIRP and the owner of the intellectual prope...

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ژورنال

عنوان ژورنال: Medicina

سال: 2008

ISSN: 1648-9144

DOI: 10.3390/medicina44040039