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Pediatric pituitary adenomas

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Abstract

Background

Pediatric pituitary adenomas are a rare medical entity that makes up a small portion of intracranial tumors in children and adolescents. Although benign, the majority of these lesions are secreting functional tumors with the potential for physiological sequela that can profoundly affect a child’s development.

Focus of Review

In this review, we discuss the medical and surgical management of these tumors with a focus on clinical presentation, diagnostic identification, surgical approach, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to treat these tumors.

Summary

The management of pituitary tumors requires a multidisciplinary team of surgeons, endocrinologists, and neuroanesthesiologists as well as neurocritical care specialists to deliver comprehensive care.

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Authors and Affiliations

  1. Department of Otolaryngology, The Ohio State University Wexner Medical Center, Columbus, OH, USA

    Patrick C. Walz & Ricardo Carrau

  2. Department of Pediatric Otolaryngology, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA

    Patrick C. Walz & Ricardo Carrau

  3. Department of Neurosurgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA

    Annie Drapeau, Ammar Shaikhouni, Ahmed Mohyeldin, Ricardo Carrau & Daniel Prevedello

  4. Department of Pediatric Neurosurgery, Nationwide Children’s Hospital, Columbus, OH, USA

    Annie Drapeau, Ammar Shaikhouni & Daniel Prevedello

  5. Department of Otolaryngology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Jacob Eide

  6. OhioHealth Neurosurgery, Columbus, OH, USA

    Alex J. Rugino

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  1. Patrick C. Walz
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  2. Annie Drapeau
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Correspondence to Patrick C. Walz.

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Walz, P.C., Drapeau, A., Shaikhouni, A. et al. Pediatric pituitary adenomas. Childs Nerv Syst 35, 2107–2118 (2019). https://doi.org/10.1007/s00381-019-04293-y

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