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Year : 2018  |  Volume : 13  |  Issue : 3  |  Page : 560-564

Pituitary adenoma apoplexy: Review of personal series

1 Division of Neurosurgery, Ospedali Riuniti di Ancona, Italy
2 Division of Endocrinology, Ospedali Riuniti di Ancona, Italy
3 Division of Radiology, Ospedali Riuniti di Ancona, Italy

Correspondence Address:
Niccolò Nocchi
Via Gasparoli, 28, 61032 Fano PU
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_344_16

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Background: Pituitary apoplexy is a life-threatening event with unspecific clinical background and no standardized treatment. Materials and Methods: The authors retrospectively analyzed seventeen patients affected by pituitary adenoma apoplexy and treated in a 10-year period. Thirteen patients underwent surgery through transsphenoidal route while four patients have been treated conservatively. Results: The endoscopic surgical procedure showed a better result in term of complete removal of the tumor while in the “conservative” group less frequent evidence of hormones' deficiency has been registered. Once a residual lesions was observed a strict radiological follow-up is mandatory. Conclusions: According to dedicated literature and pre- and post-operative evidence of personal series, the authors try to provide an algorithm that could help in the standardization of the diagnostic and therapeutic pathways in patients with pituitary adenoma apoplexy.

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