Transsphenoidal approaches to the pituitary: a progression in experience in a single centre.


BACKGROUND:Evolving of a single centre by means of different transsphenoidal approaches during the survey of methodological advances in pituitary surgery is presented. MATERIALS AND METHODS:Ninety-three consecutive patients with pituitary adenomas underwent transphenoidal pituitary operations at Gulhane Military Medical Academy from January 1996 to October 2007. Retrospective chart-based analysis of the surgical methods of transsphenoidal pituitary adenoma operations were done. Surgical methods were described. Outcomes and complications were presented. Attention is focused on the methodology of different surgical techniques of pituitary surgery. FINDINGS:During the evaluation period, 12 Sublabial approaches (1996-1998), 13 transseptal transsphenoidal approaches (1999-2000), 15 endonasal transsphenoidal approaches (2000-2004), 25 endoscopy assisted endonasal approaches (2002-2006) and 28 pure endoscopic endonasal approaches (2006-2007) were performed. CONCLUSIONS:Technologic advancements in endoscopy and gaining experience in pituitary surgery drives neurosurgeons toward less invasive approaches.


Acta Neurochir (Wien)


Acta neurochirurgica


Duz B,Harman F,Secer HI,Bolu E,Gonul E




Has Abstract


2008-11-01 00:00:00


1133-8; discussion 1138-9










  • Single center experiences with telemetric intracranial pressure measurements in patients with CSF circulation disturbances.

    abstract:BACKGROUND:Hydrocephalus may present with heterogeneous signs and symptoms. The indication for its treatment and the optimal drainage in complex cases may be challenging. Telemetric intracranial pressure measurements (TICPM) may open new perspectives for those circumstances. We report our experiences using the Neuroven...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Pennacchietti V,Prinz V,Schaumann A,Finger T,Schulz M,Thomale UW

    更新日期:2020-10-01 00:00:00

  • Diagnosis and management of abscesses in the basal ganglia and thalamus: a survey.

    abstract::A review is made of the current management strategies of abscesses in basal ganglia and thalamus, based on a review of the literature and three of our own cases. Clinical picture, aetiology, diagnostic, surgical treatment and outcome are discussed. Stereotactic abscess puncture in combination with temporary drainage a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Lutz TW,Landolt H,Wasner M,Gratzl O

    更新日期:1994-01-01 00:00:00

  • Surgical management of vertebral and basilar artery aneurysms: a single center experience in 41 patients.

    abstract:OBJECTIVE:To study an effective method for surgical management of vertebral and basilar artery aneurysms. METHODS:Forty-one patients with 43 aneurysms of the vertebral and basilar arteries were managed by microsurgical clipping. Cerebral angiography revealed basilar apex aneurysms in 17 patients, basilar trunk in six ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Shi X,Qian H,Singh KC,Zhang Y,Zhou Z,Sun Y,Liu F

    更新日期:2013-06-01 00:00:00

  • Demonstration of the optic pathway in sellar/juxtasellar tumours with visual disturbance on MR imaging.

    abstract:OBJECTIVE:To prospectively compare the demonstration of the intracranial optic pathway in patients with sellar/juxtasellar tumours and with clinical evidence of visual disturbance using either spoiled gradient recalled acquisition in steady state (SPGR) or conventional spin echo (CSE) T1-weighted imaging. MATERIALS AN...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sumida M,Arita K,Migita K,Iida K,Kurisu K,Uozumi T

    更新日期:1998-01-01 00:00:00

  • Benefits and risks of antifibrinolytic therapy in the management of ruptured intracranial aneurysms. A double-blind placebo-controlled study.

    abstract::One hundred patients with a verified subarachnoid haemorrhage were studied in a double blind, placebo-controlled trial at a single centre to determine the value and relative risks of tranexamic acid (TXA) in the management of ruptured intracranial aneurysms. The incidence of recurrent haemorrhage between active and pl...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Tsementzis SA,Hitchcock ER,Meyer CH

    更新日期:1990-01-01 00:00:00

  • Double balloon protection during carotid artery stenting for vulnerable carotid stenosis reduces the incidence of new brain lesions.

    abstract:BACKGROUND:The use of distal filter protection alone is associated with a high risk of ischemic complications when vulnerable carotid stenosis is treated by carotid artery stenting (CAS). Double balloon protection, a combination of distal balloon protection and proximal balloon occlusion, can be utilized. We assessed t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Nakazaki M,Nonaka T,Takahashi A,Yonemasu Y,Nomura T,Onda T,Honda O,Hashimoto Y,Ohnishi H,Sasaki M,Daibo M,Honmou O

    更新日期:2016-07-01 00:00:00

  • Transsphenoidal resection for pituitary adenoma in elderly versus younger patients: a systematic review and meta-analysis.

    abstract:INTRODUCTION:Pituitary adenomas (PA) are common intracranial tumors. In the context of the aging of the population, the question is whether postsurgical outcomes are comparable to the younger ones. The primary objective of the present study was to review published resection and recurrence rates after transsphenoidal re...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,meta分析


    authors: Tuleasca C,Ducos Y,Leroy HA,Chanson P,Knafo S,Levivier M,Aghakhani N,Parker F

    更新日期:2020-06-01 00:00:00

  • Academic output of German neurosurgical residents in 35 academic neurosurgery residency programs.

    abstract:BACKGROUND:The scientific activity of neurosurgeons and neurosurgery residents as measured by bibliometric parameters is of increased interest. While data about academic output for neurosurgeons in the USA, the UK, and Canada have been published, no similar results for German neurosurgical residents exist. Within this ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kilinc F,Gessler F,Dubinski D,Won SY,Quick-Weller J,Seifert V,Behmanesh B

    更新日期:2019-10-01 00:00:00

  • Comparison of surgical exposure and maneuverability associated with microscopy and endoscopy in the retrolabyrinthine and transcrusal approaches to the retrochiasmatic region: a cadaveric study.

    abstract:BACKGROUND:The retrolabyrinthine and transcrusal approaches (RLA and TCA, respectively) are the two most often used posterior transpetrosal approaches that are used to treat lesions in the retrochiasmatic region. Endoscopes are increasingly used in neurosurgical practice. To determine whether a difference exists betwee...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Yang J,Zhang F,Xu A,Li H,Ding Z

    更新日期:2016-04-01 00:00:00

  • Effects of needle shape on the integrity of the vascular endothelium.

    abstract::Lesions generated by the passage of micro-needles through vessel walls are of concern because any lesion may significantly alter hemodynamics of an anastomosis. To study this problem, three different needles were tested on the exposed carotid arteries of 30 rats: the 100 mu taper point, the 100 mu cutting point, and t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Dujovny M,Nossovsky N,Diaz FG,Ausman JI,Berman KS

    更新日期:1985-01-01 00:00:00

  • Intraosseous sacral paraganglioma with extradural extension: case report.

    abstract:BACKGROUND:Paragangliomas are tumors that arise from the paraganglion system, which is a component of the neuroendocrine system. Approximately 10% are located in the extra-adrenal paraganglion system. Paragangliomas of the spine, however, are rare. They usually present as an intradural tumor in the cauda equina. There ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Falavigna A,Righesso O,Volquind D,Salgado KB,Teles AR

    更新日期:2010-03-01 00:00:00

  • Compression of the outlets of the leptomeningeal veins--the cause of intracranial plateau waves.

    abstract::The hypothesis is developed that plateau waves (PW) are caused by an abrupt elevation of postcapillary flow resistance induced by compression of the outlets of the leptomeningeal veins. It is shown by means of a physical model that the main prerequisite for venous outlet compression consists in an elevation of the out...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Laas R,Arnold H

    更新日期:1981-01-01 00:00:00

  • Subaxial cervical juxtafacet cysts: single institution surgical experience and literature review.

    abstract:OBJECTIVES:Juxtafacet cysts (JFCs) of the subaxial cervical spine are rare causes of neurological deficits. Their imaging characteristics, relationship to segmental instability, and potential for inducing acute symptomatic deterioration have only been described in a few case reports and small case series. The objective...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Uschold T,Panchmatia J,Fusco DJ,Abla AA,Porter RW,Theodore N

    更新日期:2013-02-01 00:00:00

  • Thallium-201 technetium-99m HMPAO single-photon emission computed tomography (SPECT) imaging for guiding stereotactic craniotomies in heavily irradiated malignant glioma patients.

    abstract::SPECT scanning with Tl-201 and Tc-99m offers a unique, inexpensive functional imaging modality to combine with CT stereotactic craniotomy for guiding resection of necrosis and/or tumour in patients treated with escalated doses of radiation (> 6000 cGy) by either brachytherapy or radiosurgery. Thirty-two cases were ana...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Alexander E 3rd,Loeffler JS,Schwartz RB,Johnson KA,Carvalho PA,Garada BM,Zimmerman RE,Holman BL

    更新日期:1993-01-01 00:00:00

  • Approach through the temporal horn of the lateral ventricle for clipping of large dorsal type basilar bifurcation aneurysms.

    abstract::The authors describe an approach through the temporal horn of the lateral ventricle which proved to be useful for clipping of a large dorsal type basilar bifurcation aneurysms. It facilitates the preservation of the perforating arteries behind the aneurysm, because it gives sufficient working space to move the aneurys...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sakaki T,Matsuyama T,Yabuno T,Hashimoto H,Kurokawa S,Kawaguchi S,Morimoto T

    更新日期:1995-01-01 00:00:00

  • The common consensus criteria have high predictive values for long-term postoperative acromegaly remission.

    abstract:OBJECTIVE:The aim of this work was to retrospectively study the long-term reliability of the common consensus endocrinological criteria for the assessment of postoperative remission of acromegaly. PATIENTS AND METHODS:In 96 consecutive patients, surgical remission of acromegaly following transsphenoidal surgery was co...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kristof RA,Grote A,Redel L,Neuloh G,Klingmüller D,Schramm J

    更新日期:2011-01-01 00:00:00

  • [The microsurgical treatment of the so-called tuberculum-sellae-meningiomas (author's transl)].

    abstract::Experience from five cases operated on within one year (among 50 microsurgical operations at the base of the brain) persuades us to discuss the topical relations of the meningiomas of the tuberculum sellae and the modifications in operating techniques necessary. For the two contrasting types of tumour found, which are...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hänsel G,Seeger W

    更新日期:1977-01-01 00:00:00

  • Surgical treatment of intraparenchymal hemorrhage during mechanical circulatory support for heart-failure--a single-centre experience.

    abstract:BACKGROUND:Cranial intraparenchymal hemorrhage represents a critical complication of mechanical circulatory support requiring constant antithrombotic treatment. Surgery of intraparenchymal hemorrhage under anticoagulation represents a challenge and imposes significant risks for patients. It was the aim to analyse surgi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Krenzlin H,Rosenthal C,Wolf S,Vierecke J,Kowski A,Hetzer R,Vajkoczy P,Czabanka M

    更新日期:2014-09-01 00:00:00

  • Whole-body [18F]FDG PET in the management of metastatic brain tumours.

    abstract:BACKGROUND:To determine its roles in the diagnosis and the systemic evaluation of metastatic brain tumours, whole-body positron emission tomography (PET) using [18F]FDG was performed in 20 consecutive patients. METHODS:All patients were thought to be suffering or needing to be differentiated from metastatic brain tumo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kim DG,Kim CY,Paek SH,Lee DS,Chung JK,Jung HW,Cho BK

    更新日期:1998-01-01 00:00:00

  • [Pulmonary changes in cranio-cerebral injuries and respiration with high oxygen concentrations].

    abstract::In 131 cases of craniocerebral trauma it was shown in what respect definite changes in the lungs, demonstrated by clinical course, radiographs and blood gas analyses, occurred in proportion to the severity of the trauma. The causes of these changes were considered and the possibility of complicating the course of the ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: am Esch JS,Pfeifer G

    更新日期:1976-01-01 00:00:00

  • Thoracolumbar extradural arachnoid cysts: a study of 14 consecutive cases.

    abstract:BACKGROUND:To investigate characteristic clinical and radiological features of extradural arachnoid cysts (EDACs) in the thoracolumbar region, a retrospective review of medical records and imaging studies was performed. EDACs are well known but relatively rare lesions in the thoracolumbar spinal canal. The most common ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Oh JK,Lee DY,Kim TY,Yi S,Ha Y,Kim KN,Shin H,Kim DS,Yoon DH

    更新日期:2012-02-01 00:00:00

  • Need for ensuring care for neuro-emergencies-lessons learned from the COVID-19 pandemic.

    abstract:BACKGROUND:To investigate whether patients with critical emergency conditions are seeking or receiving the medical care that they require, we characterized the reality of care for patients presenting with neuro-emergencies during the first phase of the COVID-19 pandemic. METHODS:In this observational, longitudinal coh...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hecht N,Wessels L,Werft FO,Schneider UC,Czabanka M,Vajkoczy P

    更新日期:2020-08-01 00:00:00

  • Management of intramedullary tumours in children.

    abstract::Clinical presentation, diagnosis, surgical technique and results of 25 cases of intramedullary tumours in patients under 16 years of age are analyzed. Pre-operative spinal deformity was present in 9 patients. Surgery was performed in all. After multilaminectomy with preservation of the intervertebral joints, total rem...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lunardi P,Licastro G,Missori P,Ferrante L,Fortuna A

    更新日期:1993-01-01 00:00:00

  • Intraoperative visualisation of language fascicles by diffusion tensor imaging-based tractography in glioma surgery.

    abstract:BACKGROUND:For gliomas, the goal of surgery is to maximise the extent of resection (EOR) while minimising the postoperative morbidity. The purpose of this study was to evaluate the benefits of a protocol developed for the surgical management of gliomas located in language areas, where tractography-integrated navigation...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Vassal F,Schneider F,Sontheimer A,Lemaire JJ,Nuti C

    更新日期:2013-03-01 00:00:00

  • The combination of semi-sitting position and intraoperative MRI--first report on feasibility.

    abstract:INTRODUCTION:Intraoperative MRI (iMRI) has been established as a routine imaging modality with a remarkable impact on specific neurosurgical procedures. The technological advancement continuously extends the spectrum of iMRI, leading to an increasing number of installations. Yet, procedures in which a semi-sitting posi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Gasser T,Senft C,Rathert J,Friedrich K,Hattingen E,Gerlach R,Seifert V

    更新日期:2010-06-01 00:00:00

  • Intradural variant of cervical nerve root fibres. Potential cause of misinterpreting the segmental location of cervical disc prolpases from clinical evidence.

    abstract::In 40 postmortem specimens the cervical posterior roots were examined under the surgical microscope, and intradural communicating fibres between neighbouring segments were demonstrated. The implications of these frequent variants for the diagnosis of prolapsed cervical discs are discussed. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Perneczky A,Sunder-Plassmann M

    更新日期:1980-01-01 00:00:00

  • Cranio-cerebral erosion (growing fracture of the skull in children). Part II. Clinical and radiological observations.

    abstract::This paper is based on a study of sixty cases of cranio-cerebral erosion treated in the Department of Neurosurgery. All India Institute of Medical Sciences, New Delhi during the last 20 years. This constitutes the largest series, so far reported from anywhere. It has provided a unique opportunity to get a comprehensiv...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Tandon PN,Banerji AK,Bhatia R,Goulatia RK

    更新日期:1987-01-01 00:00:00

  • Tabetic lumbar osteoarthropathy with cauda equina syndrome. Case report.

    abstract::The case is described of a 52 year old patient admitted for acauda equina compression syndrome (flaccid paraplegia of the lower limbs, bilateral lumbar and sciatic pains, urinary incontinence) of rapid onset and due to narrowing of the lumbar canal from tabetic arthropathy. These vertebral manifestations occur in a lo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Cantore GP,Gambacorta D

    更新日期:1976-01-01 00:00:00

  • The complexity of trauma to the cranio-cervical junction: correlation of clinical presentation with Doppler flow velocities in the V3-segment of the vertebral arteries.

    abstract:BACKGROUND:Trauma to the craniocervical junction (CCJ) encompasses a wide and complex spectrum of injury with an even broader range of clinical presentation, and since trauma to this area borderlines neurosurgical main areas of interest, these relatively rare injuries can be overlooked. In fact, there has been an abund...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Reddy M,Reddy B,Schöggl A,Saringer W,Matula Ch

    更新日期:2002-06-01 00:00:00

  • Results of reoperation for failed microvascular decompression.

    abstract::Among 64 patients with hemifacial spasm (HFS) and 60 with trigeminal neuralgia (TN) treated by microvascular decompression (MVD), repeated MVD performed on 3 cases with HFS resulted in the absence of spasm in all cases. In 7 cases with TN, this technique resulted in complete remission in 2, recurrence in 3, and no pai...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Yamaki T,Hashi K,Niwa J,Tanabe S,Nakagawa T,Nakamura T,Uede T,Tsuruno T

    更新日期:1992-01-01 00:00:00