Post operative 'pituitary apoplexy' in giant pituitary adenomas: a series of cases.
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 transcranially and hemorrhagic swelling of the tumor was observed. In three cases, the tumor had swollen to a size greater than twice the original tumor. All the four patients had a fatal outcome.
Ahmad
Faiz U
FU
Department of Neurosurgery, Neurosciences center, All India Institute of Medical Sciences, New Delhi. drfaizns@yahoo.co.in
Pandey
Paritosh
P
Mahapatra
Ashok K
AK
D000236:Adenoma / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010899:Pituitary Apoplexy / Q000000981:diagnostic imaging*; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed