Abstract：
BACKGROUND:Oculomotor cistern extension (OMCE) of pituitary adenoma through the oculomotor triangle may be one of the major characteristics of multi-lobulated adenoma. The OMCE may be hard to remove only through the endonasal approach. METHOD:We applied the simultaneous combined supra-infrasellar approach to remove pituitary adenoma with relatively large OMCE. Four (7.3%) of 55 consecutive patients with initially operated pituitary macroadenoma (> 10 mm) had OMCE. The combined supra-infrasellar approach was adopted in two cases with relatively large OMCE. RESULTS:The simultaneous combined supra-infrasellar approach was performed with the transcranial microscopic transsylvian anterior temporal approach and the nasal endoscopic approach. The medial main mass was removed through the nasal side. The lateral OMCE was also removed through the nasal side by pushing the tumor in the sellar direction from the transcranial side. The oculomotor nerve was confirmed with electrical nerve stimulation. The main medial mass and the OMCE were mostly removed in both cases. Remnant tumor in the cavernous sinus was treated by gamma knife radiosurgery. Endoscopic transsphenoidal removal was performed in the other two cases with relatively small OMCE. CONCLUSIONS:Pituitary macroadenomas with OMCE are a newly recognized form of progression with important implications for surgical strategy. The combined supra-infrasellar approach performed with the transcranial microscopic transsylvian anterior temporal approach using electrical nerve stimulation and the nasal endoscopic approach may be useful for this type of multi-lobulated pituitary adenoma.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Tosaka M,Shimizu T,Miyagishima T,Tanaka Y,Osawa T,Aihara M,Yamaguchi R,Yoshimoto Ydoi
10.1007/s00701-019-03869-6subject
Has Abstractpub_date
2019-05-01 00:00:00pages
1025-1031issue
5eissn
0001-6268issn
0942-0940pii
10.1007/s00701-019-03869-6journal_volume
161pub_type
杂志文章abstract：:BAK-C is a new autostabilizing interbody cage which is implanted during an anterior cervical procedure to provide stability to the motion segment and allow fusion to occur. Special instrumentation is provided with a bone collecting reamer. The system utilizes surgical site bone graft as the osteo-inductive material wi...
journal_title：Acta neurochirurgica
pub_type： 临床试验,杂志文章
doi：10.1007/s007010050049
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abstract：:The role of superficial temporal artery--middle cerebral artery (STA-MCA) anastomosis was investigated with an ultrasonic Doppler flowmeter in 3 patients with sphenoid ridge meningiomas and one with a parasellar malignant teratoma, all of which involved the intracranial internal carotid artery. The intraoperative Dopp...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01406817
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abstract：:DNA analysis was performed by flow cytometry (FCM) in 59 cases of different types of pituitary adenomas who underwent microsurgery and were actively followed over a period of 3-6 years. Aneuploid DNA patterns were detected in 12 (20%) cases. Frequency of aneuploidy was highest in prolactin-secreting (36%) as compared ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01403824
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abstract：BACKGROUND:In this article, we present our experience with such operations performed under local anaesthesia. METHODS:From January 1997 to November 2007, there were 387 patients operated on for asymptomatic carotid stenosis. Patient data were retrospectively evaluated. Thirty-day neurological morbidity and mortality f...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-010-0806-3
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abstract：:The clinical features of 6 children who are probable sufferers of "unilateral" Moyamoya disease are here reported. They showed angiographic findings which were compatible with those of Moyamoya disease, albeit only on one side. They did not, however, show any basic aetiologic factors. The age of onset, the clinical sy...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01808612
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abstract：:A total of 160 patients suspected of having acquired hydrocephalus were studied either by quantitative isotope ventriculography (QIV) or by lumbar isotope cisternography (LIC). Of these patients, 56 had hydrocephalus. Mental deterioration, gait disturbances, ataxia, spasticity, and incontinence were most frequently pr...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：1979-01-01 00:00:00
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journal_title：Acta neurochirurgica
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journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
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journal_title：Acta neurochirurgica
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更新日期：2000-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-006-0904-4
更新日期：2006-12-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01404942
更新日期：1995-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01400649
更新日期：1994-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-009-0366-6
更新日期：2010-03-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-019-03853-0
更新日期：2019-05-01 00:00:00
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journal_title：Acta neurochirurgica
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journal_title：Acta neurochirurgica
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journal_title：Acta neurochirurgica
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Acta neurochirurgica
pub_type： 临床试验,杂志文章,多中心研究
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更新日期：2009-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04437-z
更新日期：2020-08-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-002-0970-1
更新日期：2002-08-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：2016-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-10-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-007-1487-4
更新日期：2008-04-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-002-1060-0
更新日期：2003-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2014-07-01 00:00:00
