Endoscopic Endonasal Transsphenoidal Resection for Pituitary Apoplexy during the Third Trimester of Pregnancy. (2nd January 2014)

• Record Type: Journal Article
• Authors: Tandon, Adesh; Alzate, Juan; LaSala, Patrick; Fried, Marvin P.
• Other Names: Tomita Tadanori Academic Editor.
• Is Part Of: Surgery research and practice. Volume 2014(2014)
• Publication Date: 2014-01-02
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1155/2014/397131
• Languages: English
• ISSNs: 2356-7759

Abstract

Abstract : Pituitary apoplexy is an uncommon phenomenon typically characterized by vascular insufficiency or acute hemorrhage into a pituitary adenoma. The overall incidence of pituitary apoplexy ranges between 1 and 25% of all pituitary adenomas. With the widespread use of MRI technology, the diagnosis of asymptomatic intratumoral hemorrhage is closer to 10%. The authors report a case of a 27-year-old female in her 36th week of pregnancy who presented with severe onset headache and acute left-sided vision loss. MRI of the brain revealed a large hemorrhagic mass occupying the sella turcica. The patient underwent an emergent endoscopic endonasal transsphenoidal resection for pituitary apoplexy. Postoperatively, the patient's neurologic deficit resolved. Minimally invasive endoscopic endonasal transsphenoidal resection of pituitary apoplexy can be safely utilized in third trimester pregnant women presenting with acute severe neurologic deficits.