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Pituitary surgery 

Pituitary surgery
Pituitary surgery

RD Johnson

, PJ Weir

, N Maartens

, SA Cudlip

, AH Kaye

, and ER Laws

Page of

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date: 13 June 2021

Pituitary surgery is a unique subspecialty within neurosurgery which has been shaped, and continues to be influenced by, the way in which surgical techniques developed. The first section looks at the first study to evaluate the effect of timing of surgical intervention for pituitary apoplexy. The second section considers a landmark classification scheme developed to describe the degree of cavernous sinus invasion by pituitary tumours on MRI. The next section looks at one of the early papers assessing biological correlates of pituitary tumours in order to aid prognostication. The following section deals with complications of pituitary surgery. The next section looks at a study which evaluated the role of surgery in prolactinomas and emphasized the role of surgery as a legitimate option instead of medical therapy alone in these lesions. The final two sections deal with developments in surgical technique: the extended transsphenoidal approach and endoscopic transsphenoidal surgery.

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