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

dc.contributor.authorGondim, Jackson
dc.contributor.authorRamos, Francisco
dc.contributor.authorPinheiro, Israel
dc.contributor.authorSchops, Michele
dc.contributor.authorTella Junior, Oswaldo Inácio [UNIFESP]
dc.contributor.institutionGen Hosp
dc.contributor.institutionFed Univ Ceara
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-18T11:04:06Z
dc.date.available2018-06-18T11:04:06Z
dc.date.issued2003-06-01
dc.description.abstractA 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.en
dc.description.affiliationGen Hosp, Dept Neurosurg, Fortaleza, Ceara, Brazil
dc.description.affiliationGen Hosp, Dept Otorhinolaryngol, Fortaleza, Ceara, Brazil
dc.description.affiliationFed Univ Ceara, Dept Anesthesiol, Fortaleza, Ceara, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Neurosurg, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Neurosurg, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent173-176
dc.identifierhttp://dx.doi.org/10.1055/s-2003-40734
dc.identifier.citationMinimally Invasive Neurosurgery. Stuttgart: Georg Thieme Verlag Kg, v. 46, n. 3, p. 173-176, 2003.
dc.identifier.doi10.1055/s-2003-40734
dc.identifier.issn0946-7211
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/44911
dc.identifier.wosWOS:000184527800009
dc.language.isoeng
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofMinimally Invasive Neurosurgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectpregnancyen
dc.subjectpituitary apolexyen
dc.subjectendoscopeen
dc.subjectminimally invasiveen
dc.titleMinimally invasive pituitary surgery in a hemorrhagic necrosis of adenoma during pregnancyen
dc.typeinfo:eu-repo/semantics/article
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