Transcranial extradural resection of pituitary adenoma with extrasellar extensions

Fifteen cases of pituitary adenomas with extrasellar extension were operated in the period from June 2003 to January 2007 in Kasr Al-Aini Hospital, nine cases were females and six cases were males with age range from 30 to 55 years. Headache [93.3%] and diminution of vision [80%] were the most common presenting symptoms. Magnetic resonance imaging to the sella and computed tomography bone window sellar cuts were the basic radiologic investigations, in addition to hormonal profile were performed to all cases. Complete tumor resection was accomplished in [73.3%] of cases and cerebrospinal fluid leak was the most common complication [26.6%]