[A case of pituitary apoplexy: remarkable improvement of visual acuity and field by surgical intervention at the subchronic stage].
A case is reported of a pituitary apoplexy which shows remarkable improvement of visual acuity and field by transsphenoidal surgery performed 33 days after hemorrhage. Possible factors contributing to this excellent surgical outcome are speculated about as follows; atrophic brain (wide suprasellar cistern), destruction of the sella floor by the tumor (infrasellar/extracranial decompression), no vasospasm (pure intracapsular hemorrhage), no hypopituitarism, less invasive operation (transsphenoidal surgery), and so on. Transsphenoidal surgery is thought to be worth performing for pituitary apoplexy, even if timing for the operation is later than the acute stage and even if initial visual impairment is severe.
Niijima
K
K
Department of Neurosurgery, Kyoto National Hospital.
Shingu
T
T
Horiguchi
S
S
D002908:Chronic Disease; D005260:Female; D006801:Humans; D007016:Hypophysectomy / Q000379:methods*; D008875:Middle Aged; D010899:Pituitary Apoplexy / Q000503:physiopathology / Q000601:surgery*; D014792:Visual Acuity; D014794:Visual Fields