Endonasal endoscopic surgery for pituitary adenomas.

Publication Type Review
Authors Chavez-Herrera V, Desai R, Gel G, Nilchian P, Schwartz T
Journal Clin Neurol Neurosurg
Volume 237
Pagination 108172
Date Published 02/10/2024
ISSN 1872-6968
Keywords Pituitary Neoplasms, Adenoma, Brain Neoplasms
Abstract Pituitary adenomas are slow-growing, benign intracranial tumors that can be characterized as functional (hormone-producing) or non-functional (non-hormone producing). Symptoms therefore arise from either endocrinologic abnormalities or mass effect on surrounding structures resulting in symptoms such as visual impairment and headache. In the last two decades, technical innovations have shifted surgical resection of such adenomas to endoscopic endonasal approaches. In this review, we describe the evolving approach to pituitary adenomas in the modern endoscopic era, including preoperative multidisciplinary review, relevant surgical anatomy, and a description of the technical nuances of standard and expanded approaches to the anterior skull base.
DOI 10.1016/j.clineuro.2024.108172
PubMed ID 38359520
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