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Neurosurg, an open access journal
ISSN: 2471-9633
Page 32
Notes:
August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4
th
International Conference on
allied
academies
Mahmoud Farid
Al Azhar University, Egypt
Incidence and management of pituitary apoplexy among 80 patients having
pituitary adenomas
A
series of 19 patients having pituitary apoplexy among
80 patients with pituitary adenomas were managed
surgically and studied in our neurosurgery department
within a period of four years. This study included the terms
of age, sex, signs and symptoms, predisposing factors,
hormonal functions, histological types of adenoma, as well
as CT and MRI findings. Among these patient with pituitary
apoplexy the average age was 44.9 years old, female patient
constitutes 11 cases (57.9%) of the series while male patients
constitutes 8 cases (42.1%). The male to female ratio was
1:1.3. Hypertension, diabetic ketoacidosis, anticoagulant
therapy and huge pituitary tumor were the most
predisposing factors in this study. The cardinal and important
clinical manifestations was headache 16 cases (8.42%), visual
disturbance 13 cases ( 6.84%), ocular movement paresis in 6
cases (31.5%), altered consciousness 1 case ( 5.2%). The pre-
operative hormonal study showed pituitary hypofunction
is 7 cases (36.8%) and pituitary hyper function in 12 cases
(63.2%). All cases of pituitary apoplexy were operated with
post-operative CT and MRI brain and sella with and without
contrast. The post-operative pathological findings showed
12 cases (63.2%) hemorrhagic pituitary adenoma, 5 cases
(26.3%), hemorrhagic infarction and 2 cases (10.5%) pure
ischemic infarction. The post-operative complication in this
study showed diabetes insipidus in 6 cases (31.5%), CSF leak
in 2 cases (10.5%), meningitis and death in 1 case (5.2%).
Conclusion:
Pituitary apoplexy is a serious event, comprises
in this series 23.8% of 80 patients having pituitary adenomas.
Complete recovery is possible if the diagnosis is rapidly
obtained and adequate management is initiated in time,
thus surgical outcome through transsphenoidal approach or
endonasal approach is very satisfactory.
Speaker Biography
Mahmoud Farid Neurosurgery MD, Ph.D associate professor of Neurosurgery faculty
of medicine Al Azhar University. Has completed his Ph.D of Neurological surgery at Al
Azhar University, Cairo, Egypt in 2004. His specialist training involved intense study,
research and teaching of both non operative and operative care and treatment of spine
and brain surgery. He has authored numerous public international and national works
and provides presentations on topics related to the brain and spinal lesions. Expertise
in all neurological field and special interest in skull base surgery and microscopic mini-
mal invasive spine surgery. He has experience of work in the Neurosurgery field in Gulf
area from 2010 until present were cranial and spinal cases has been managed as well
as the peripheral nerves lesions.
e:
faridneuro@yahoo.comMahmoud Farid, Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-004