He actually urged doctors to become proficient in both techniques. Neurosurgery. 2002 Jul;51(1):161-9. Transsphenoidal microsurgery. Ciric I, Rosenblatt S, Zhao JC.
Division of Neurosurgery, Evanston Hospital, Northwestern University Medical School, Illinois 60201, USA. [EMAIL PROTECTED]
Transsphenoidal microsurgery is a well-established neurosurgical procedure that has become the standard of care in the management of the majority of pituitary tumors and a select group of other sellar lesions. The safety of the procedure depends on the surgeon's adherence to certain anatomic concepts. Foremost among these concepts is the necessity of preserving the integrity of the arachnoid membrane covering the tumor dome and avoiding vascular injuries in the cavernous sinus. The objective of this article is to demonstrate the sequential steps of a transsphenoidal microsurgical procedure for the removal of a pituitary tumor in light of the anatomic concepts discussed, with the goal of preventing complications and achieving the best possible outcome.
PMID: 12182414 [PubMed - indexed for MEDLINE] I have the article at work - I got a hard copy at the medical library. I do have to follow copyright law. If you'd like me to send you a copy email me here. The paper has actual photographs and is very impressive. He has a new article, Neurosurg Clin N Am. 2003 Jan;14(1):167-71. Long-term management and outcome for pituitary tumors.
Ciric I.
Division of Neurosurgery, Evanston Hospital, 2650 Ridge Avenue, Room 4222, Evanston, IL 60201, USA. [EMAIL PROTECTED]
As we enter the twenty-first century, neurosurgeons and endocrinologists are armed with a greater variety of treatment options for pituitary adenomas, both secreting and nonsecreting. These include an ever-increased availability of different drugs that can be used for suppression of hypersecretion of pituitary adenomas in conjunction with their shrinkage (at least for the duration of the treatment), surgical techniques that have greatly improved, and newer techniques, such as endoscopic microsurgery, that have been added to the surgeon's armamentarium. Radiation therapy techniques have also improved in terms of structuring the radiation field as well as in terms of dosimetry and delivery.
I'd be interested in that one too. I need to run over to the Medical Center Library to see if I can get onto MDConsult and see if I can direct access that article, otherwise, I would need to order that article from the medical library. (Thanks for the kudos too!) ![I really appreciate the boost!]() Minnie | 