Education treatment of the pituitary adenomas Prof. Elyshar, Dr Spektor, Dr Margolin.

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Presentation transcript:

Education treatment of the pituitary adenomas Prof. Elyshar, Dr Spektor, Dr Margolin

Our education in the endoscopic transsphenoid surgery is 98 operation sur ger y

Removal pituitary adenomas 73 41non functional 25functional 7apoplexy

Presentation of the non functional macro P.A. 20headache 31 vision disturbances 10accidently

Degree removal of the non functional P.A. 17gross total 24partial

Result Visual improvement 26 No improvement 5 normal vision before and after 10

Complication CSF leaked 7 DI 2 Bleeding 2 Panhypopituitarism 2 Reoperation 2

Case 1

Case 2

Case 3

Case 4

Functional P.A. 25 Cushing 6 Acromegaly 12 Prolactinoma 5 TSH 1 FSH 1

Improvement functional P.A. Cushing Acromegaly Prolactinomas TSH FSH

Apoplexy Non functional P.A. 4 Functional P.A. 3

Presentation of the apoplexy Visual deterioration 4 Strabismus 4 Ophthalmoplgy 2 Headache 7 Coma 1

Result Visual improvement 3 Nerves 3, 4, 6 improvement 3 One eye blind 1

Case 1

Case 2

Case 3

Non surgical treatment giant prolactinomas

Non surgical treatment giant prolactinomas 5 patients