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Dringliche Hypophysenchirurgie

Neue Wege in Diagnostik und Therapie

Urgent pituitary surgery

New ways in diagnosis and therapy

  • Published:
Acta Chirurgica Austriaca Aims and scope Submit manuscript

Zusammenfassung

Eine akute intraselläre Drucksteigerung ist eine lebensbedrohliche Komplikation beim Hypophysentumor. Plötzlicher Kopfschmerz, Ophthalmoplegie und rasch zunehmende Sehverschlechterung sind die klinischen Zeichen. Sie entstehen durch Infarkt und/oder Hämorrhagie in ein Adenom und verlangen rasche operative Entlastung. Je schneller die parasellären Strukturen dekomprimiert werden, desto besser sind die postoperativen Ergebnisse.

Mit der Computertomographie und der neuen mikroneurochirurgischen Technik hat sich die Prognose dieser Erkrankung deutlich verbessert.

An Hand 4 eigener Fälle werden die Klinik, die diagnostischen Maßnahmen, die Operationstechnik und die Ergebnisse dargestellt.

Summary

Acute raise of intrasellar pressure is a life-threatening complication in pituitary tumors. Sudden headache, ophthalmoplegia and impaired visual acuity are the clinical manifestations. It is caused by rapid expansion of pituitary tumor and requires immediately surgical decompression. The faster the parasellar structures are decompressed, the better the postoperative outcomes are. The prognosis of this serious disease has been improved by computertomography and new surgical technique. This is a report of 4 cases of pituitary apoplexy. The diagnostic and therapeutic maneuvres and the outcome are discussed.

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  1. Universitätsklinik für Neurochirurgie der Karl-Franzens-Universität Graz, A-8036, Graz

    G. Clarici

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Clarici, G. Dringliche Hypophysenchirurgie. Acta Chir Austriaca 19, 615–625 (1987). https://doi.org/10.1007/BF02745356

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