title: Surgical management of acromegaly in a resource-challenged environment.
abstract: The management of acromegaly caused by an uncommon growth hormone-secreting pituitary adenoma can be challenging in low-resource African subregion. We conducted a study over a 2-year period to describe the results and challenges following surgical treatment of this rare condition in our centre. The clinical outcome was defined as successful based on the surgeon's intraoperative observation, postoperative neuroimaging findings and neuroendocrinological results. A total of three patients (two males and one female) aged 19-32 years were included. Visual impairment was the main presenting symptom in all the three patients. The postoperative period was uneventful. Acromegaly is an uncommon disorder in our region. Surgery is the treatment of choice in low-resource practice.
authors: Department of Surgery, Neurosurgery Division, Lagos State University College of Medicine, Lagos, Nigeria.
authors: Idowu Olufemi
authors: IO
authors: Emmanuel
authors: Department of Family Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
authors: Audu Safina
authors: AS
authors: Mary-Anne
keywords: Acromegaly; growth hormone-secreting pituitary adenoma; insulin-like growth factor-I; pterional craniotomy
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