background & importance: the aim of this study was to demonstrate the result of transsphenoid microsurgery for cushing disease in our center and comparing the results in details with other articles, to achieve the best decision for patients management in future. case presentation: between 1991 to 2015, 50 patients suffering from cushing disease were operated. before operation, endocrine tests a...

This is report on four cases of giant pituitary tumors that developed postoperative pituitary apoplexy after they had undergone a partial tumor resection. Three patients had undergone surgery by a transsphenoid route and one patient underwent surgery by transcranial route. Postoperative CT scan showed hemorrhagic expansion of residual tumor mass. All the four patients were re-explored transcran...

Background & Importance: The aim of this study was to demonstrate the result of transsphenoid microsurgery for Cushing disease in our center and comparing the results in details with other articles, to achieve the best decision for patients management in future. Case Presentation: Between 1991 to 2015, 50 patients suffering from Cushing disease were operated. Before operation, endocrine t...

Cholesterol granuloma (CG) of the petrous apex is an inflammatory reaction to the by-products of eroded marrow cavities secondary to chronic obstruction of air cells within the petrous pyramid. We report a case of cholesterol granuloma in the left petrous bone occurring in a 28-year-old woman with an unusual presentation. The woman presented with a 6-month history of intermittent left hemicrani...

Surgery for cholesterol granulomas involving the petrous apex has traditionally been performed via a lateral skull base approach. We present a case-series of four cholesterol granulomas treated through the endoscopic-transsphenoid approach over the last 10 years. Drainage was successful and symptomatic improvement was obtained in all cases (follow-up 6 months-10 years). Primary 'sphenoid' lesio...

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...

Sisternografi radionuklida sering digunakan untuk membuktikan adanya kebocoran cairan serebrospinal dari hidung atau telinga serta melokalisasi lokasi kebocoran. Aktif tidaknya pada saat pemeriksaan sangat mempengaruhi hasil sisternogram radionuklida. Kami melaporkan kasus yang jarang dilakukan pemerikaan dengan menggunakan sisternografi pasien wanita berumur 56 tahun. Pasien memiliki keluhan u...