ABSTRACT
We retrospectively analyzed the clinical manifestations, imaging results, and surgical treatment conditions of 72 patients who were diagnosed with hemorrhagic pituitary adenoma between January 2006 and May 2009 at our Department of Neurosurgery. We reached the conclusion that the CT-positive rate was 55.17% and the MRI-positive rate was 94.44%. Sixty-six patients underwent transsphenoidal operations; 6 patients, transfrontal operations; 52, total resections; 10, subtotal resections; and 10, partial resections. All procedures alleviated patients' headaches and stopped vomiting; patients with impaired consciousness gradually became clear-headed after the operations; patients whose preoperative eyesight had been impaired improved to different degrees, and ophthalmoplegia improved. Fifty-six patients were followed, 14 were cured, 32 had alleviated symptoms but 4 did not, and 6 relapsed. Our finding suggests that MRI scanning is superior to CT scanning in the diagnosis of hemorrhagic pituitary adenomas. Surgical decompression should be performed as soon as possible, and transsphenoidal microsurgery is the optimal treatment.
Subject(s)
Hemorrhage/surgery , Pituitary Gland/surgery , Pituitary Neoplasms , Adolescent , Adult , Aged , Child , Female , Follow-Up Studies , Hemorrhage/complications , Hemorrhage/diagnosis , Humans , Magnetic Resonance Imaging/methods , Male , Middle Aged , Neurosurgical Procedures/methods , Pituitary Gland/pathology , Pituitary Neoplasms/complications , Pituitary Neoplasms/diagnosis , Pituitary Neoplasms/surgery , Tomography, X-Ray Computed/methods , Young AdultABSTRACT
To discuss predisposing factors of chronic hydrocephalus after aneurysmal subarachnoid space hemorrhage (aSAH). Clinical data of treating 32 patients with chronic hydrocephalus after aSAH through operations was retrospectively analyzed and processed. The incidence rate of chronic hydrocephalus of patients with an age above 60 years, Hunt-Hess III-IV level, posterior circulation aneurysm and anterior communicating aneurysm, hemorrhage twice or more and ventricle hematocele is prominently higher than patients with an age below 60 years, Hunt-Hess I-II level, aneurysms on other parts, one hemorrhage and no ventricle hematocele (P < 0.05). An age above 60 years, Hunt-Hess III-IV level, posterior circulation aneurysm and anterior communicating aneurysm, hemorrhage twice or more and ventricle hematocele are predisposing factors of chronic hydrocephalus after aSAH.
