Introduction: Cushing disease is a rare entity, and among them, giant pituitary adenomas causing rarer. Here we present case of secondary to macroadenoma. Case report: A 41-year-old female with poorly controlled diabetes mellitus hypertension diagnosed for six months presented history unintentional weight loss, polyuria polydipsia the same duration. There was change in her facial appearance inc...

AIM To analyze early remission, complications, and pituitary function recovery after pure endoscopic endonasal transsphenoidal surgery (PEETS), a novel method in pituitary adenoma treatment. METHODS Testing of all basal hormone values and magnetic resonance imaging (MRI) were performed preoperatively and postoperatively (postoperative MRI only in nonfunctioning adenomas) in 117 consecutive pa...

BACKGROUND AND PURPOSE The purpose of this study was to determine the location of the pituitary bright spot in patients with pituitary macroadenomas before surgery. METHODS A total of 54 patients with pituitary macroadenomas were retrospectively included in this study. Nonenhanced spin-echo T1-weighted MR images were reviewed to identify the location of the high-intensity-signal posterior pit...

Background: Preoperative differentiation of histologic etiology of sellar lesions is of profound clinical importance because it determines the use of surgery versus nonsurgical technique, transsphenoidal versus transcranial routes and the degree of surgical resection. Objective: We provide an overview of the most relevant magnetic resonance imaging characteristics together with clinical finding...

With improved angiographic techniques and magnetic resonance angiography available today, an increasing number of incidental aneurysms are being detected. Occurrence of an intracranial aneurysm together with a pituitary adenoma presents tremendous risk to the patient, particularly when the aneurysm lies near the operative field.A 61-year-old woman presented with a progressive visual field defec...