Minimally Invasive Pituitary Surgery in a Hemorrhagic Necrosis of Adenoma During Pregnancy
Abstract A 29-year-old woman with a prolactin microadenoma was under good control with bromocriptine (BCP) therapy until she became pregnant, when the treatment was stopped. During the third trimester of pregnancy the patient presented a unilateral visual loss and intermittent headaches. BCP was res...
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| Veröffentlicht in: | Minimally invasive neurosurgery 2003-06, Vol.46 (3), p.173-176 |
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| container_title | Minimally invasive neurosurgery |
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| creator | Gondim, J. Ramos Jr, F. Pinheiro, I. Schops, M. Tella Jr, O. I. |
| description | Abstract
A 29-year-old woman with a prolactin microadenoma was under good control with bromocriptine (BCP) therapy until she became pregnant, when the treatment was stopped. During the third trimester of pregnancy the patient presented a unilateral visual loss and intermittent headaches. BCP was restarted and one week later she developed a complete ophthalmoplegia on the other side. The patient was submitted to an endoscopic transnasal transeptal resection of a hematoma and tumoral tissue in the pituitary region. One month after surgery, at 39 weeks of gestation, the patient spontaneously delivered a healthy girl weighing 3 kg, with an Apgar score of 9 and 10 at five minutes. This is the first case in the literature of a pregnant woman with second and third cranial nerve lesions, submitted to minimally invasive neuroendoscopic transnasal transsphenoidal approach in the third trimester of pregnancy. |
| doi_str_mv | 10.1055/s-2003-40734 |
| format | Article |
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A 29-year-old woman with a prolactin microadenoma was under good control with bromocriptine (BCP) therapy until she became pregnant, when the treatment was stopped. During the third trimester of pregnancy the patient presented a unilateral visual loss and intermittent headaches. BCP was restarted and one week later she developed a complete ophthalmoplegia on the other side. The patient was submitted to an endoscopic transnasal transeptal resection of a hematoma and tumoral tissue in the pituitary region. One month after surgery, at 39 weeks of gestation, the patient spontaneously delivered a healthy girl weighing 3 kg, with an Apgar score of 9 and 10 at five minutes. This is the first case in the literature of a pregnant woman with second and third cranial nerve lesions, submitted to minimally invasive neuroendoscopic transnasal transsphenoidal approach in the third trimester of pregnancy.</description><identifier>ISSN: 0946-7211</identifier><identifier>EISSN: 1439-2291</identifier><identifier>DOI: 10.1055/s-2003-40734</identifier><identifier>PMID: 12872196</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adult ; Biological and medical sciences ; Bromocriptine - therapeutic use ; Case Report ; Female ; Hematoma ; Hemorrhage - etiology ; Hemorrhage - pathology ; Hormone Antagonists - therapeutic use ; Humans ; Medical sciences ; Minimally Invasive Surgical Procedures - methods ; Necrosis ; Neurosurgical Procedures - methods ; Optic Nerve Neoplasms - pathology ; Optic Nerve Neoplasms - surgery ; Pituitary Neoplasms - complications ; Pituitary Neoplasms - surgery ; Pregnancy ; Pregnancy Complications, Neoplastic - surgery ; Pregnancy Outcome ; Pregnancy Trimester, Third ; Prolactinoma - complications ; Prolactinoma - surgery</subject><ispartof>Minimally invasive neurosurgery, 2003-06, Vol.46 (3), p.173-176</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-34bcbeb17cdbec15a3e0fbd2dff4d1785e586de36c06a12da0317b4ef7cc735e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2003-40734.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2003-40734$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3004,3005,27901,27902,54534,54535</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14991596$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12872196$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gondim, J.</creatorcontrib><creatorcontrib>Ramos Jr, F.</creatorcontrib><creatorcontrib>Pinheiro, I.</creatorcontrib><creatorcontrib>Schops, M.</creatorcontrib><creatorcontrib>Tella Jr, O. I.</creatorcontrib><title>Minimally Invasive Pituitary Surgery in a Hemorrhagic Necrosis of Adenoma During Pregnancy</title><title>Minimally invasive neurosurgery</title><addtitle>Minim Invasive Neurosurg</addtitle><description>Abstract
A 29-year-old woman with a prolactin microadenoma was under good control with bromocriptine (BCP) therapy until she became pregnant, when the treatment was stopped. During the third trimester of pregnancy the patient presented a unilateral visual loss and intermittent headaches. BCP was restarted and one week later she developed a complete ophthalmoplegia on the other side. The patient was submitted to an endoscopic transnasal transeptal resection of a hematoma and tumoral tissue in the pituitary region. One month after surgery, at 39 weeks of gestation, the patient spontaneously delivered a healthy girl weighing 3 kg, with an Apgar score of 9 and 10 at five minutes. This is the first case in the literature of a pregnant woman with second and third cranial nerve lesions, submitted to minimally invasive neuroendoscopic transnasal transsphenoidal approach in the third trimester of pregnancy.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bromocriptine - therapeutic use</subject><subject>Case Report</subject><subject>Female</subject><subject>Hematoma</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - pathology</subject><subject>Hormone Antagonists - therapeutic use</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Necrosis</subject><subject>Neurosurgical Procedures - methods</subject><subject>Optic Nerve Neoplasms - pathology</subject><subject>Optic Nerve Neoplasms - surgery</subject><subject>Pituitary Neoplasms - complications</subject><subject>Pituitary Neoplasms - surgery</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Neoplastic - surgery</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Trimester, Third</subject><subject>Prolactinoma - complications</subject><subject>Prolactinoma - surgery</subject><issn>0946-7211</issn><issn>1439-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkMFP2zAUh60JtHbdbpyRL-wCYX62k9THqmNQCVilbZddLMd5KUaJA3aC1P8el1biwuknPX36vfc-Qk6AXQLL8x8x44yJTLJSyE9kClKojHMFR2TKlCyykgNMyJcYHxkDqVj5mUyAz9NYFVPy_85515m23dKVfzHRvSBdu2F0gwlb-mcMG0zpPDX0Brs-hAezcZbeow19dJH2DV3U6PvO0J9jcH5D1wE33ni7_UqOG9NG_HbIGfn36-rv8ia7_X29Wi5uMytBDZmQla2wgtLWFVrIjUDWVDWvm0bWUM5zzOdFjaKwrDDAa8MElJXEprS2FDmKGfm-730K_fOIcdCdixbb1njsx6iTF1Vw4Am82IO722PARj-F9HvYamB651JHvXOp31wm_PTQO1Yd1u_wQV4Czg6Aida0TUhfu_jOSaUgf-PO99zw4LBD_diPwScjH699BRsfiuo</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Gondim, J.</creator><creator>Ramos Jr, F.</creator><creator>Pinheiro, I.</creator><creator>Schops, M.</creator><creator>Tella Jr, O. I.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Minimally Invasive Pituitary Surgery in a Hemorrhagic Necrosis of Adenoma During Pregnancy</title><author>Gondim, J. ; Ramos Jr, F. ; Pinheiro, I. ; Schops, M. ; Tella Jr, O. I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-34bcbeb17cdbec15a3e0fbd2dff4d1785e586de36c06a12da0317b4ef7cc735e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bromocriptine - therapeutic use</topic><topic>Case Report</topic><topic>Female</topic><topic>Hematoma</topic><topic>Hemorrhage - etiology</topic><topic>Hemorrhage - pathology</topic><topic>Hormone Antagonists - therapeutic use</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Necrosis</topic><topic>Neurosurgical Procedures - methods</topic><topic>Optic Nerve Neoplasms - pathology</topic><topic>Optic Nerve Neoplasms - surgery</topic><topic>Pituitary Neoplasms - complications</topic><topic>Pituitary Neoplasms - surgery</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Neoplastic - surgery</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Trimester, Third</topic><topic>Prolactinoma - complications</topic><topic>Prolactinoma - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gondim, J.</creatorcontrib><creatorcontrib>Ramos Jr, F.</creatorcontrib><creatorcontrib>Pinheiro, I.</creatorcontrib><creatorcontrib>Schops, M.</creatorcontrib><creatorcontrib>Tella Jr, O. I.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Minimally invasive neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gondim, J.</au><au>Ramos Jr, F.</au><au>Pinheiro, I.</au><au>Schops, M.</au><au>Tella Jr, O. I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimally Invasive Pituitary Surgery in a Hemorrhagic Necrosis of Adenoma During Pregnancy</atitle><jtitle>Minimally invasive neurosurgery</jtitle><addtitle>Minim Invasive Neurosurg</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>46</volume><issue>3</issue><spage>173</spage><epage>176</epage><pages>173-176</pages><issn>0946-7211</issn><eissn>1439-2291</eissn><abstract>Abstract
A 29-year-old woman with a prolactin microadenoma was under good control with bromocriptine (BCP) therapy until she became pregnant, when the treatment was stopped. During the third trimester of pregnancy the patient presented a unilateral visual loss and intermittent headaches. BCP was restarted and one week later she developed a complete ophthalmoplegia on the other side. The patient was submitted to an endoscopic transnasal transeptal resection of a hematoma and tumoral tissue in the pituitary region. One month after surgery, at 39 weeks of gestation, the patient spontaneously delivered a healthy girl weighing 3 kg, with an Apgar score of 9 and 10 at five minutes. This is the first case in the literature of a pregnant woman with second and third cranial nerve lesions, submitted to minimally invasive neuroendoscopic transnasal transsphenoidal approach in the third trimester of pregnancy.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>12872196</pmid><doi>10.1055/s-2003-40734</doi><tpages>4</tpages></addata></record> |
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| ispartof | Minimally invasive neurosurgery, 2003-06, Vol.46 (3), p.173-176 |
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| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Adult Biological and medical sciences Bromocriptine - therapeutic use Case Report Female Hematoma Hemorrhage - etiology Hemorrhage - pathology Hormone Antagonists - therapeutic use Humans Medical sciences Minimally Invasive Surgical Procedures - methods Necrosis Neurosurgical Procedures - methods Optic Nerve Neoplasms - pathology Optic Nerve Neoplasms - surgery Pituitary Neoplasms - complications Pituitary Neoplasms - surgery Pregnancy Pregnancy Complications, Neoplastic - surgery Pregnancy Outcome Pregnancy Trimester, Third Prolactinoma - complications Prolactinoma - surgery |
| title | Minimally Invasive Pituitary Surgery in a Hemorrhagic Necrosis of Adenoma During Pregnancy |
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