Outcomes of pituitary apoplexy: a comparison of microadenomas and macroadenomas
Autor: | Gill E. Sviri, Mai Assaliya Naffa, Afif Nakhleh, Naim Shehadeh, Irit Hochberg |
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Rok vydání: | 2021 |
Předmět: |
Transsphenoidal surgery
medicine.medical_specialty business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment Pituitary apoplexy Optic chiasm Favorable prognosis medicine.disease Endocrinology medicine.anatomical_structure Hypogonadotropic hypogonadism medicine Statistical analysis Radiology Hyponatremia business Pituitary microadenoma |
Zdroj: | Pituitary. 24:492-498 |
ISSN: | 1573-7403 1386-341X |
DOI: | 10.1007/s11102-020-01124-1 |
Popis: | We aimed to assess clinical characteristics of apoplexy of pituitary microadenomas compared to macroadenomas. We retrieved clinical records of patients > 18 years old, hospitalized in Rambam hospital between January 2001 and October 2017, with pituitary apoplexy and follow-up of at least one year. We compared clinical course and outcomes of apoplexy between patients with microadenomas and macroadenomas, and between patients who received conservative or surgical treatment. Statistical analysis was done using Fisher’s exact and Mann–Whitney tests. Twenty-seven patients with pituitary apoplexy were included in the final analysis: mean age was 40.7 ± 12.5 years, 13(48%) were female, 7(26%) had microadenomas, and 21(78%) harbored clinically nonfunctioning pituitary adenomas. Upon admission, hyponatremia, random cortisol level of |
Databáze: | OpenAIRE |
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