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World Neurosurg ; 146: 148-149, 2021 02.
Article in English | MEDLINE | ID: covidwho-971146


We present a case of a 28-year-old woman with a history of severe headaches and pituitary insufficiency. She was found to have a large, enhancing, sellar mass consistent with a pituitary adenoma. The patient's surgical care was delayed due to the coronavirus disease 2019 (COVID-19) pandemic, and follow-up imaging revealed spontaneous involution of the sellar mass. Spontaneous involution of pituitary masses has been described but not often encountered in clinical practice. This case highlights that follow-up imaging is necessary when scheduling elective surgeries during the COVID-19 pandemic.

Adenoma/diagnostic imaging , COVID-19/prevention & control , Neoplasm Regression, Spontaneous , Pituitary Neoplasms/diagnostic imaging , Adult , COVID-19/epidemiology , Female , Follow-Up Studies , Humans , Neoplasm Regression, Spontaneous/pathology , Pandemics
Neurosurgery ; 87(4): 854-856, 2020 09 15.
Article in English | MEDLINE | ID: covidwho-641027


Even though neurosurgeons exercise these enormous and versatile skills, the COVID-19 pandemic has shaken the fabrics of the global neurosurgical family, jeopardizing human lives, and forcing the entire world to be locked down. We stand on the shoulders of the giants and will not forget their examples and their teachings. We will work to the best of our ability to honor their memory. Professor Harvey Cushing said: "When to take great risks; when to withdraw in the face of unexpected difficulties; whether to force an attempted enucleation of a pathologically favorable tumor to its completion with the prospect of an operative fatality, or to abandon the procedure short of completeness with the certainty that after months or years even greater risks may have to be faced at a subsequent session-all these require surgical judgment which is a matter of long experience." It is up to us, therefore, to keep on the noble path that we have decided to undertake, to accumulate the surgical experience that these icons have shown us, the fruit of sacrifice and obstinacy. Our tribute goes to them; we will always remember their excellent work and their brilliant careers that will continue to enlighten all of us.

Betacoronavirus , Coronavirus Infections/history , Neurosurgery/history , Pandemics/history , Pneumonia, Viral/history , COVID-19 , Coronavirus Infections/mortality , History, 21st Century , Humans , Pneumonia, Viral/mortality , SARS-CoV-2
Neurol India ; 68(Supplement): S134-S136, 2020.
Article in English | MEDLINE | ID: covidwho-628276


Even in ideal circumstances, the performance of safe and effective endoscopic transsphenoidal pituitary surgery requires complicated orchestration of care amongst multiple medical and surgical teams in the preoperative, intraoperative, and postoperative settings. The current COVID-19 pandemic further complicates this highly orchestrated effort. Healthcare systems around the globe are working to adapt to the rapidly changing healthcare landscape as information about the SARS-CoV-2 virus is discovered and disseminated. The nature of the transsphenoidal corridor exposes the pituitary surgery team to increased risk of virus exposure.

Coronavirus Infections/transmission , Infection Control/methods , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Neurosurgeons , Pituitary Neoplasms/surgery , Pituitary Neoplasms/virology , Pneumonia, Viral/transmission , Betacoronavirus , COVID-19 , Coronavirus Infections/complications , Humans , Infection Control/standards , Neuroendoscopy , Pandemics , Pneumonia, Viral/complications , SARS-CoV-2