Evolution of Pituitary Surgery.

Abstract:

:Pituitary tumors may well be the most common brain tumors with a mean incidence of 16.7%. Even small tumors become symptomatic when they arise from functioning cells and produce devastating effects on the body. The nonfunctioning tumors may become quite large before producing symptoms due to raised intracranial pressure or mass effect on the surrounding structures, most commonly, the optic apparatus. Many of them remain asymptomatic through life. Evolution of pituitary surgery is testimony to the advances in diagnostic and surgical techniques in neurosurgery and improved understanding of 360° of surgical skullbase anatomy as well as the need to provide not only immediate good postoperative results but also a long-lasting relief. Despite considerable advances in medical treatment as well as focussed radiation techniques, surgery remains the primary treatment in many of these tumors. Visual improvement, hormonal cure, avoidance of hypopituitarism, and neurological deficit remain immediate goals of surgery. Long-term cure or remission may require a multidisciplinary approach.

journal_name

Neurol India

journal_title

Neurology India

authors

Deopujari CE,Shaikh ST

doi

10.4103/0028-3886.287673

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

S33-S38

issue

Supplement

eissn

0028-3886

issn

1998-4022

pii

ni_2020_68_7_33_287673

journal_volume

68

pub_type

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