Remote extradural hematoma as a complication of endoscopic transsphenoidal surgery: A case report with literature review

Destiansyah, Rifqi Aulia; Savitri, Camilia Metadea Aji; Wisnawa, I Wayan Weda; Susilo, Rahadian Indarto; Wahyuhadi, Joni; Haq, Irwan Barlian Immadoel

doi:10.1016/j.ijscr.2022.107341

Cited by 2 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, this patient was not given radiotherapy (Melmed, 2021). Endoscopic transsphenoidal endonasal surgery has been utilized for macroadenoma resection (Destiansyah et al, 2022;Nabilah et al, 2022). Most patients with microprolactinomas have normalized prolactin levels and approximately 50% of patients with macroprolactinomas go into remission after surgery.…”

Section: Figure 2 Post Optimal Prolactinoma Therapymentioning

confidence: 99%

Management of a prolactinoma patient with manifestations of amenorrhea and infertility

Idham

Hutajulu

Novida

2022

ijhs

View full text Add to dashboard Cite

Prolactinoma is an adenoma arising from the lactotroph cells of the pituitary gland that secrete prolactin. It is considered the most commonly diagnosed pituitary tumor and accounts for about 40% of all pituitary tumors. This study discusses a female patient suffering from prolactinoma with manifestations of amenorrhea and infertility. According to an MRI examination, the patient had a tumor with signs of apoplexy measuring ± 2.7 x 1.5 x 1.9 cm in the intrasellar, extending to the suprasellar. On the other hand, an examination indicated that the prolactin serum level of the patient was > 200 ng/ml (increased). The patient had consulted a neurosurgeon for consideration of surgery due to the large size of the prolactinoma, but the patient temporarily refused surgery.

show abstract

Section: Figure 2 Post Optimal Prolactinoma Therapymentioning

confidence: 99%

Management of a prolactinoma patient with manifestations of amenorrhea and infertility

Idham

Hutajulu

Novida

2022

ijhs

View full text Add to dashboard Cite

show abstract

“…3 This disease is generally silent and was discovered by accident. 4,5 Pituitary adenomas are commonly benign and rarely develop into malignant. 3 Symptoms that appear frequently are the result of suppression due to tumor mass or hormonal disturbances.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic challenges and management a patient with micropenis and pituitary microadenoma

Pridanta¹,

Ardiany²

2022

Bali Med J.

View full text Add to dashboard Cite

Background: Micropenis is a condition where the penis size is smaller than 2.5 standard deviation on average without any anatomical malformations. Hypogonadotropic hypogonadism is one of the causes of micropenis and one of the structural disorders that could lead to hypogonadotropic hypogonadism is a pituitary microadenoma that alters the levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH) and testosterone. In this case-report we present a patient with micropenis caused by pituitary adenoma. Case presentation: A 40-year-old male patient, presented to Dr Soetomo Hospital with a chief complaint of having a small penis that did not match the proportions of the body but could still erect and ejaculate. The patient experienced fatigue for about two months before the admission and struggled to concentrate while walking for the last six months. The laboratory results were hyperprolactinemia, hypo albumin, and dyslipidemia. From the MRI examination with contrast, a mass was found in the left pituitary. The patient was diagnosed with pituitary microadenoma, hypogonadotropic hypogonadism, micropenis, hypotestosterone, hypocortisolism, and hypothyroidism. The patient was assigned for monthly monitoring. Consultation with a neurosurgeon suggested there were no indications for surgery. The patient was treated with testosterone intramuscular injection 250 mg every month, methylprednisolone 4 mg every 8 h, simvastatin 20 mg every 24 h, and levothyroxine sodium 50 mg every 24 h. One month follow up, fatigue was disappeared and nine months follow up found improvements in hormone levels and balance during walking. Conclusion: Pituitary microadenoma can manifest as micropenis, hypocortisolism, and shift hormone levels. The main therapy for pituitary microadenoma is hormone therapy as presented this present case report.

show abstract

Remote extradural hematoma as a complication of endoscopic transsphenoidal surgery: A case report with literature review

Cited by 2 publications

References 12 publications

Management of a prolactinoma patient with manifestations of amenorrhea and infertility

Management of a prolactinoma patient with manifestations of amenorrhea and infertility

Diagnostic challenges and management a patient with micropenis and pituitary microadenoma

Contact Info

Product

Resources

About