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Intraoperative Imaging for Pituitary Surgery

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Transsphenoidal Surgery

Abstract

Pituitary adenomas are benign tumors that account for 10–15% of intracranial neoplasms. These tumors often are benign incidental findings, but can cause significant morbidity through excess hormone production or mass effect on the optic chiasm or other adjacent structures. Surgery via the transsphenoidal route remains the primary treatment, with craniotomy approaches reserved for more extensive tumors. Maximal safe resection is typically the goal of any surgical procedure for pituitary adenomas. A number of strategies are utilized in an effort to maximize safe adenoma resection including optimizing surgical exposure, using stereotactic navigation to confirm anatomical landmarks and predict the extent of removal (Charalampaki et al. J Clin Neurosci 16:786–789, 2009), and implementing endoscopy to provide a high-resolution panoramic view of the surgical field, but despite these approaches, incomplete tumor removal is still a potential issue.

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Authors and Affiliations

  1. Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Peter T. Sylvester MD & Michael R. Chicoine MD

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  1. Peter T. Sylvester MD
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Correspondence to Michael R. Chicoine MD .

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Editors and Affiliations

  1. Department of Neurosurgery, Harvard Medical School Brigham and Women’s Hospital, Boston, MA, USA

    Edward R. Laws, Jr

  2. Department of Neurosurgery, Indianapolis Methodist Hospital, Indianapolis, IN, USA

    Aaron A. Cohen-Gadol

  3. Department of Neurosurgery, Weill Cornell Medical College New York Presbyterian Hospital, New York, NY, USA

    Theodore H. Schwartz

  4. Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA

    Jason P. Sheehan

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Sylvester, P.T., Chicoine, M.R. (2017). Intraoperative Imaging for Pituitary Surgery. In: Laws, Jr, E.R., Cohen-Gadol, A.A., Schwartz, T.H., Sheehan, J.P. (eds) Transsphenoidal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-56691-7_16

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