Skip to main content

Visual Outcome Following Pituitary Apoplexy

  • Chapter
  • First Online:
Pituitary Apoplexy

Abstract

Visual deterioration is common following pituitary apoplexy. Despite this, literature is scarce regarding the epidemiology and management of the visual component of pituitary apoplexy. The author has attempted to review the pertinent literature regarding the choice of management (conservative or surgical) and the optimal timing of surgery for pituitary apoplexy and found that even completely blind eyes may have significant improvement in vision if surgical decompression of the optic apparatus is undertaken early within the first 7 days of onset of symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Agrawal D, Mahapatra AK. Visual outcome of blind eyes in pituitary apoplexy after transsphenoidal surgery: a series of 14 eyes. Surg Neurol. 2005;63:42–6.

    Article  PubMed  Google Scholar 

  • Brougham M, Heusner AP, Adams RD. Acute degenerative changes in adenomas of the pituitary body-with special reference to pituitary apoplexy. J Neurosurg. 1950;7:421–39.

    Article  PubMed  CAS  Google Scholar 

  • Cardoso ER, Peterson EW. Pituitary apoplexy: a review. Neurosurgery. 1984;14:363–73.

    Article  PubMed  CAS  Google Scholar 

  • Chuang CC, Chang CN, Wei KC, Liao CC, Hsu PW, Huang YC, Chen YL, Lai LJ, Pai PC. Surgical treatment for severe visual compromised patients after pituitary apoplexy. J Neurooncol. 2006;80:39–47.

    Article  PubMed  Google Scholar 

  • da Motta LA, de Mello PA, de Lacerda CM, Neto AP, da Motta LD, Filho MF. Pituitary apoplexy. Clinical course, endocrine evaluations and treatment analysis. J Neurosurg Sci. 1999;43:25–36.

    PubMed  Google Scholar 

  • Ebersold MJ, Laws Jr ER, Scheithauer BW, Randall RV. Pituitary apoplexy treated by transsphenoidal surgery. A clinicopathological and immunocytochemical study. J Neurosurg. 1983;58:315–20.

    Article  PubMed  CAS  Google Scholar 

  • Krueger EG, Unger SM, Roswit B. Hemorrhage into pituitary adenoma with spontaneous recovery and reossification of the sella turcica. Neurology. 1960;10:691–6.

    Article  PubMed  CAS  Google Scholar 

  • Maccagnan P, Macedo CL, Kayath MJ, Nogueira RG, Abucham J. Conservative management of pituitary apoplexy: a prospective study. J Clin Endocrinol Metab. 1995;80:2190–7.

    Article  PubMed  CAS  Google Scholar 

  • McFadzean RM, Doyle D, Rampling R, Teasdale E, Teasdale G. Pituitary apoplexy and its effect on vision. Neurosurgery. 1991;29:669–75.

    Article  PubMed  CAS  Google Scholar 

  • Muthukumar N, Rossette D, Soundaram M, Senthilbabu S, Badrinarayanan T. Blindness following pituitary apoplexy: timing of surgery and neuro-ophthalmic outcome. J Clin Neurosci. 2008;15:873–9.

    Google Scholar 

  • Onesti ST, Wisniewski T, Post KD. Clinical versus subclinical pituitary apoplexy: presentation, surgical management, and outcome in 21 patients. Neurosurgery. 1990;26:980–6.

    Article  PubMed  CAS  Google Scholar 

  • Peter M, De Tribolet N. Visual outcome after transsphenoidal surgery for pituitary adenomas. Br J Neuro. 1995;9:151–7.

    Article  CAS  Google Scholar 

  • Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J. UK guidelines for the management of pituitary apoplexy. Clin Endocrinol (Oxf). 2011;74:9–20.

    Article  Google Scholar 

  • Randeva HS, Schoebel J, Byrne J, Esiri M, Adams CB, Wass JA. Classical pituitary apoplexy: clinical features, management and outcome. Clin Endocrinol (Oxf). 1999;51:181–8.

    Article  CAS  Google Scholar 

  • Robinson JL. Sudden blindness with pituitary tumors. Report of three cases. J Neurosurg. 1972;36:83–5.

    Article  PubMed  CAS  Google Scholar 

  • Semple PL, Jane Jr JA, Laws Jr ER. Clinical relevance of precipitating factors in pituitary apoplexy. Neurosurgery. 2007;61:956–61.

    Article  PubMed  Google Scholar 

  • Seuk JW, Kim CH, Yang MS, Cheong JH, Kim JM. Visual outcome after transsphenoidal surgery in patients with pituitary apoplexy. J Korean Neurosurg Soc. 2011;49:339–44.

    Article  PubMed  Google Scholar 

  • Sibal L, Ball SG, Connolly V, James RA, Kane P, Kelly WF, Kendall-Taylor P, Mathias D, Perros P, Quinton R, Vaidya B. Pituitary apoplexy: a review of clinical presentation, management and outcome in 45 cases. Pituitary. 2004;7:157–63.

    Article  PubMed  Google Scholar 

  • Suri A, Narang KS, Sharma BS, Mahapatra AK. Visual outcome after surgery in patients with suprasellar tumors and preoperative blindness. J Neurosurg. 2008;108:19–25.

    Article  PubMed  Google Scholar 

  • Zhang X, Fei Z, Zhang W, Cao WD, Liu WP, Zhang JN, Fu LA, Jiang XF, Zhen HN, Song SJ, Li X. Emergency transsphenoidal surgery for hemorrhagic pituitary adenomas. Surg Oncol. 2007;16:115–20.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Deepak Agrawal MBBS, MS, MCh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Agrawal, D. (2014). Visual Outcome Following Pituitary Apoplexy. In: Turgut, M., Mahapatra, A., Powell, M., Muthukumar, N. (eds) Pituitary Apoplexy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38508-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-38508-7_11

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38507-0

  • Online ISBN: 978-3-642-38508-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics