Minimally invasive pituitary surgery in a hemorrhagic necrosis of adenoma during pregnancy

Minimally invasive pituitary surgery in a hemorrhagic necrosis of adenoma during pregnancy

Author Gondim, Jackson Google Scholar
Ramos, Francisco Google Scholar
Pinheiro, Israel Google Scholar
Schops, Michele Google Scholar
Tella Junior, Oswaldo Inácio Autor UNIFESP Google Scholar
Institution Gen Hosp
Fed Univ Ceara
Universidade Federal de São Paulo (UNIFESP)
Abstract A 29-year-old woman with a prolactin microadenoma was under good control with bromocriptine (BCP) therapy until she became pregnant, when the treatment was stopped. During the third trimester of pregnancy the patient presented a unilateral visual loss and intermittent headaches. BCP was restarted and one week later she developed a complete ophthalmoplegia on the other side. The patient was submitted to an endoscopic transnasal transeptal resection of a hematoma and tumoral tissue in the pituitary region. One month after surgery, at 39 weeks of gestation, the patient spontaneously delivered a healthy girl weighing 3 kg, with an Apgar score of 9 and 10 at five minutes. This is the first case in the literature of a pregnant woman with second and third cranial nerve lesions, submitted to minimally invasive neuroendoscopic transnasal transsphenoidal approach in the third trimester of pregnancy.
Keywords pregnancy
pituitary apolexy
endoscope
minimally invasive
Language English
Date 2003-06-01
Published in Minimally Invasive Neurosurgery. Stuttgart: Georg Thieme Verlag Kg, v. 46, n. 3, p. 173-176, 2003.
ISSN 0946-7211 (Sherpa/Romeo, impact factor)
Publisher Georg Thieme Verlag Kg
Extent 173-176
Origin http://dx.doi.org/10.1055/s-2003-40734
Access rights Closed access
Type Article
Web of Science ID WOS:000184527800009
URI http://repositorio.unifesp.br/11600/44911

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