Trans-sphenoidal surgery for microprolactinoma: an acceptable alternative to dopamine agonists?

Trans-sphenoidal surgery for microprolactinoma: an acceptable alternative to dopamine agonists?

AIMS Reported cure rates following trans-sphenoidal surgery for microprolactinoma are variable and recurrence rates in some series are high. We wished to examine the cure rate of trans-sphenoidal surgery for microprolactinoma, and to assess the long-term complications and recurrence rate. DESIGN A retrospective review of the outcome of trans-sphenoidal surgery for microprolactinoma, performed...

The History of Trans-sphenoidal Surgery for Pituitary Tumours

Safe Corridor to Access Clivus for Endoscopic Trans-Sphenoidal Surgery: A Radiological and Anatomical Study

PURPOSE Penetration of the clivus is required for surgical access of the brain stem. The endoscopic transclivus approach is a difficult procedure with high risk of injury to important neurovascular structures. We undertook a novel anatomical and radiological investigation to understand the structure of the clivus and neurovascular structures relevant to the extended trans-nasal trans-sphenoid p...

a comparison of trans-cranial and trans-sphenoidal approaches for vision improvement due to pitutary adenomas

to improve visual disturbance, optic nerve decompression can be performed via transcranial or tran-sphenoidal approaches. although the surgical exposure in transcranial approach is favourable, yet the optic nerve's presence in the field may make it vulnerable to damage. of fighty patients with different types of pituitary adenomas, 35 cases with medium-sized (1-3 cm) tumors have been studi...

Emergency placement of a self-expandable covered stent for carotid artery injury during trans-sphenoidal surgery.

A patient sustained internal carotid artery (ICA) injury during trans-sphenoidal surgery. Bleeding from the resultant pseudo-aneurysm was not fully controlled by surgical packing. Emergency endovascular deployment over the injured ICA segment of a self-expandable covered-stent ('Symbiot' stent), initially designed for use in coronary saphenous vein-graft, was successful in securing haemostasis.