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Intrasellar pressure and tumor volume in pituitary tumor: relation study.
Gondim, Jackson A; Tella, Osvaldo I; Schops, Michele.
Afiliação
  • Gondim JA; Neurosurgery Department General, Hospital of Fortaleza, Fortaleza, CE, Brazil. jagondim@secrel.com.br
Arq Neuropsiquiatr ; 64(4): 971-5, 2006 Dec.
Article em En | MEDLINE | ID: mdl-17221006
OBJECTIVE: To determine if there was a relationship between intrassellar pressure (ISP) and pituitary tumor volume. METHOD: Between August 2002 and May 2004, 60 patients aged between 13 and 75 years old (39 males), having a pituitary adenoma were submitted to an endoscope transseptal approach. During the surgery and before tumor resection, 2 mm of the sellas floor were removed and a 1.5 mm dural opening made to place a transducer into the pituitary adenoma. The transducer was connected to a pressure monitor. RESULTS: The intrasellar pressure, ranged from 2-51 mmHg and was measured based on the classification of Hardy-Vezina. The most elevated was in the type II macro adenomas with 32.6 mmHg, sharply superior to the value of a normal intracranial pressure. CONCLUSION: These values showed that the macroadenomas confined to the sella, without destruction of the floor and integrity of the diaphragm, type II of Hardy-Vezina, presented a value of ISP much higher than intra-extrasellar macroadenoma's.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Hipofisárias / Sela Túrcica / Pressão Intracraniana / Adenoma Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arq Neuropsiquiatr Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Hipofisárias / Sela Túrcica / Pressão Intracraniana / Adenoma Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arq Neuropsiquiatr Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha