cc/kg mmol/kg ADH i- Incidental ii- Hour glass iii- Diabetes Insipidus iv- Centeral diabetes insipidus v -Supra optic vi- Median emminance iii

Similar documents
Delayed Hyponatremia Following Transsphenoidal Surgery for Pituitary Adenoma

Predictors of diabetes insipidus after transsphenoidal surgery: a review of 881 patients

Downloaded from journal.bums.ac.ir at 20:00 IRST on Saturday October 6th " # $% & '( % ) *+!

ORIGINAL PAPER. DDepartment of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan ABSTRACT

Preliminary Experience with 3-Tesla MRI and Cushing s Disease

CSF Rhinorrhoea after Transsphenoidal Surgery

Certain types of tumors, in the CNS and elsewhere,

Abstract. Introduction

Original Article. Abstract. Introduction. Thinesh Kumran 1,2, Saffari Haspani 1,2, Jafri Malin Abdullah 1,4, Azmi Alias 1,2, Fan Rui Ven 3

Long term outcome following repeat transsphenoidal surgery for recurrent endocrine-inactive pituitary adenomas

The efficacy and morbidity for transsphenoidal surgery. Morbidity of repeat transsphenoidal surgery assessed in more than 1000 operations

Preoperative Lanreotide Treatment Improves Outcome in Patients with Acromegaly Resulting from Invasive Pituitary Macroadenoma

Didactic Series. Hypogonadism and HIV. Daniel Lee, MD UCSD Medical Center, Owen Clinic July 28, 2016

Somatotroph Pituitary Adenomas (Acromegaly) The Diagnostic Pathway (11-2K-234)

X/00/$03.00/0 Vol. 85, No. 5 The Journal of Clinical Endocrinology & Metabolism Copyright 2000 by The Endocrine Society

10/23/2010. Excludes Single Surgeon Pituitary (N=~140) Skull Base Volume 12 Month UC SF. Patients. Anterior/Midline. Pituitary CSF Leak.

CLINICALLY SILENT ACTH CROOKE S CELL ADENOMA PRESENTING AS UNILATERAL EAR PAIN

Acromegaly: Management of the Patient Who Has Failed Surgery

Pituitary, Parathyroid Pheochromocytomas & Paragangliomas: The 4 Ps of NETs

Natural course of incidentally found nonfunctioning pituitary adenoma, with special reference to pituitary apoplexy during follow-up examination

The New England Journal of Medicine A POPULATION-BASED STUDY OF SEIZURES AFTER TRAUMATIC BRAIN INJURIES

Therapeutic Objectives. Cushing s Disease Surgical Results. Cushing s Disease Surgical Results: Macroadenomas 10/24/2015

Pituitary adenoma is not considered a disease

Immediate postoperative complications in transsphenoidal pituitary surgery: A prospective study

Delayed postoperative hyponatremia after transsphenoidal surgery: prevalence and associated factors

Laurie A. Loevner, MD

Surgical Neurology International

Peri-op Pituitary / Diabetes Insipidus/ Apoplexy Dr. Stan Van Uum, MD, PhD, FRCPC

ENDOCRINE OUTCOMES OF TRANS-SPHENOIDAL SURGERY FOR PITUITARY APOPLEXY VERSUS ELECTIVE SURGERY FOR PITUITARY ADENOMA

Prolactin-Secreting Pituitary Adenomas (Prolactinomas) The Diagnostic Pathway (11-2K-234)

Metoclopramide Domperidone. HYPER- PROLACTINAEMIA: the true and the false problems

出版年 1 AccessMedicine Papadakis Current Medical Diagnosis & Treatment Mcgraw-hill 2017

Dr. Park s SDR Publication

TRANSSPHENOIDAL MICROSURGERY FOR PITUITARY ADENOMAS

Imaging pituitary gland tumors

Urgent and Emergent Pituitary Conditions

182 Ligia Tataranu et al Endoscopic endonasal transsphenoidal approach

Pitfalls in early biochemical evaluation after transsphenoidal

Superior mediastinal paraganglioma associated with von Hippel-Lindau syndrome: report of a case

CHAPTER 11. Summarizing discussion and conclusions

Pituitary adenomas in childhood and adolescence ISABELLE L. RICHMOND, M.D., PH.D., AND CHARLES B. WILSON, M.D.

Impact of Gamma Knife Radiosurgery on the neurosurgical management of skull-base lesions: The Combined Approach

FULL PAPER THERAPEUTIC RESPONSE EVALUATION ON HYPERTHYROIDISM USING A FIXED DOSED OF I-131

PRIMARY AMENORRHEA AND PITUITARY ADENOMAS

Division of Neurosurgery University of Cape Town 2008 Research Report

Pituitary tumour apoplexy within prolactinomas in children: a more aggressive condition?

October 13, Surgical Nuances to Managing Cushing s Disease. Cortisol Regulation. Cushing s Syndrome Excess Cortisol. Sandeep Kunwar, M.D.

TREATMENT OF CUSHING S DISEASE

Silent ACTHoma: A subclinical presentation of Cushing s disease in a 79 year old male

A Boy with Optic Glioma

Process / Evidence Class. Clinical Assessment / III

Int J Clin Exp Med 2015;8(11): /ISSN: /IJCEM

A Clinical Study of Plasma Fibrinogen Level in Ischemic Stroke

Radioterapia degli adenomi ipofisari

Prolactin response to an acute bromocriptine suppression test (ABST) following surgical debulking of macroprolactinomas

Corresponding author - Dr.Krishnakumar M

Aetna Better Health of Virginia

Diagnostic value of the water deprivation test in the polyuria-polydipsia syndrome

Long-term results of gamma knife surgery for growth hormone producing pituitary adenoma: is the disease difficult to cure?

JMSCR Vol 05 Issue 01 Page January 2017

Iran Pituitary Tumor Registry: Description of the Program and Initial Results

Pituitary Tumors and Incidentalomas. Bijan Ahrari, MD, FACE, ECNU Palm Medical Group

Magnetic Resonance Imaging Criteria to Predict Complete Excision of Parasellar Pituitary Macroadenoma on Postoperative Imaging

Radiotherapy in the management of optic pathway gliomas

PHARMACY POLICY STATEMENT Indiana Medicaid

PHARMACY POLICY STATEMENT Indiana Medicaid

Understanding Exocrine Pancreatic Insufficiency (EPI) Important Information About What EPI Is and How It s Managed

Low immediate postoperative serumcortisol nadir predicts the short-term, but not long-term, remission after pituitary surgery for Cushing s disease

Trans-sphenoidal resection is a well known surgical procedure

Kristen Dillard, M.D. Endorama December 6, 2012

Ad e n o m a s of the anterior pituitary gland may present

Imaging The Turkish Saddle. Russell Goodman, HMS III Dr. Gillian Lieberman

Prediction of Adrenocortical Insufficiency After Pituitary Adenoma Surgery Using Postoperative Basal Cortisol Levels

Clinical Concerns about Recurrence of Non-Functioning Pituitary Adenoma

ACROMEGALY OCCURRING IN A PATIENT WITH A PITUITARY ADENOMA, LYMPHOCYTIC HYPOPHYSITIS, AND A RATHKE CLEFT CYST

Pituitary Macroadenoma with Superior Orbital Fissure Syndrome

The Pathology of Pituitary Adenomas. I have nothing to disclose 10/13/2016. Pituitary Disorders: Advances in Diagnosis and Management

VARIABLE THYROID-STIMULATING HORMONE DYNAMICS IN SILENT THYROTROPH ADENOMAS

Integrity of the Lactotroph Axis and Antithyroid Antibodies in Patients with Hypopituitarism

Accepted Preprint first posted on 8 June 2010 as Manuscript EJE

Long- term outcome for patients with craniopharyngiomas

Paediatric cyclical Cushing s disease due to corticotroph cell hyperplasia

Factors Influencing Visual Field Recovery after Transsphenoidal Resection of a Pituitary Adenoma

Pediatric sellar tumors: diagnostic procedures and management

ANATOMICAL VARIATIONS OF SUPERFACIAL VEINS IN ANTECUBITAL FOSSA

Visual Fields at Presentation and after Trans-sphenoidal Resection of Pituitary Adenomas

ISSN: X CODEN: IJPTFI Available Online through

By Dan Longo - Harrison's Gastroenterology And Hepatology: 1st (first) Edition By Dan Longo

Thyroid Nodules. Dr. HAKIMI, SpAK Dr. MELDA DELIANA, SpAK Dr. SISKA MAYASARI LUBIS, SpA

62-year-old woman with severe headache. Celeste Thomas November 1, 2012

Gamma knife surgery in management of secretory pituitary adenoma Preliminary evaluation of role, efficacy and safety

Pituitary Disorders. Eiman Ali Basheir Mob: /1/2019

Lab bulletin. Copeptin

Repeated transsphenoidal surgery to treat recurrent or residual pituitary adenoma

Pituitary Adenomas, Challenges and Prospects of Management: A Case Report

Changes in quality of life in patients with acromegaly after surgical remission A prospective study using SF-36 questionnaire

Sharon maslovitz Lis Maternity Hospital

Transcription:

( ) - ()... (DI) : DI. :. DI ( ) DI.... - DI. ( ) ( ) Immediate DI DI. Minirin DI DI DI (%) :. ( ) Delayed DI ( ) (%/) DI. Delayed DI (%) Immediate DI (%) DI.. (%/) (%/) (%/) Delayed DI. DI Minirin (%) DI.(p=/) (%/) ) - (%) Minirin (%) % :. Minirin ( DI. DI Minirin. Minirin. DI. : //: // : // :. % / /. (... ( e-mail:assarish@yahoo.com :

, DI ( ).. DI cc/kg mmol/kg... ( ). DI. ( : ( DI ( DI. DI ( ).. -. () DI. ( ).. vi- Median emminance i. ). (... ) ( ). ( %.. ii. iii iv ADH. vi v i- Incidental ii- Hour glass iii- Diabetes Insipidus iv- Centeral diabetes insipidus v -Supra optic

(%) : DI DI DI. DI (%) Delayed DI (%) Immediate DI.( ) (%/) (%). DI (%) - (% ) DI. DI بهDI ابتلا عدم مبتلا به Immediate DI DI Delayed بهDI مبتلا 10% 20% 70% - : DI. DI (%) (%/) DI.( ). DI (%/) DI (%) DI..( ) Delayed DI (%/) (%/). p=/) Delayed DI.( ) (. i ii. ) ( ( - ) ( ) / (. DI DI ( ) Immediate DI.. ( )Delayed DI Minirin Minirin.. SPSS. DI / p. DI. :. (%) (%) ( ±). /±/. (% ) - (%) (%). i- Trans septal ii- Dural Window

,.. DI. DI. DI. % % (Early Postoperative DI) DI.(Persistant DI) DI % DI %/ DI. () DI % DI % Immediate DI DI %. %/ %/ DI. %/ % ( ) Immediate DI % ( ) Short term DI. % Immediate DI. %/ Short term DI ) DI Minirin ( Minirin Minirin ( ) Minirin DI Immediate DI. (%/) (%/) Immediate.( p>/) (%) DI : Minirin (%) Minirin ) (%) Minirin. Minirin ( DI (%) % 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% ترانس اسفنوي يد; 1 Transient DI. Immediate DI - % -. ترانس کرانيال; 11 ترانس کرانيال; 4 ترانس کرانيال ترانس اسفنوي يد; 34 ترانس اسفنوي يد غ ير مبتلا مبتلا DI % % %/ Permanent DI DI

. DI DI. ). DI. DI DI. Minirin DI Minirin DI Immediate DI. Delayed DI... Partial DI.. Permanent DI. Delayed DI Delayed DI. Delayed DI DI. solid DI (non Functional Functional). References 1. Winn HR. Youmans neurological surgery. 5th ed. Philadelphia: Saunders; 2004. p. 1169-1203. 2. Annegers JF, Coulam CB, Abboud CF, Laws ER Jr, Kurland LT. Pituitary adenoma in Olmsted County, Minnesota, 1935--1977. A report of an increasing incidence of diagnosis in women of childbearing age. Mayo Clin Proc 1978; 53: 641-3. 3. Mindermann T, Wilson CB. Age-related and genderrelated occurrence of pituitary adenomas. Clin Endocrinol (Oxf) 1994; 41: 359-64. 4. Molitch ME. Incidental pituitary adenomas. Am J Med Sci 1993; 306: 262-4. 5. Youmans JR. Youmans neurological surgery [electronic resource]: a comprehensive reference guide to the diagnosis and management of neurological problems. 4th ed. Philadelphia: W.B. Saunders Co. 1997. p. 2935-66. 6. Robert H. Wilkins, settis, Rengachry. Neurosurgery. 1: 806-10. 869-72. 1985? 7. Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL.Harrison s principles of Internal medicine. 15 th ed. New York: McGraw-Hill; 2001. p. 2029 39, 2052-56. 8. Andreoli TE, Carpenter CC, Griggs RC, Loscalzo J. Cecil essentials of medicine, 5th ed. Philadelphia: W.B. Saunders; 2001. p. 522-55. 9. Rodriguez O, Mateos B, de la Pedraja R, Villoria R, Hernando JI, Pastor A, et al. Postoperative follow-up of pituitary adenomas after trans-sphenoidal resection: MRI and clinical correlation. Neuroradiology 1996; 38: 747-54. 10. Dumont AS, Nemergut EC 2nd, Jane JA Jr, Laws ER Jr. Postoperative care following pituitary surgery. J Intensive Care Med 2005; 20: 127-40. 11. Singer PA, Sevilla LJ. Postoperative endocrine management of pituitary tumors. Neurosurg Clin N Am 2003; 14: 123-38. 12. Kreutzer J, Vance ML, Lopes MB, Laws ER Jr. Surgical management of GH-secreting pituitary adenomas: an outcome study using modern remission criteria. J Clin Endocrinol Metab 2001; 86: 4072-7.

, 13. Ciric I, Ragin A, Baumgartner C, Pierce D. Complications of transsphenoidal surgery: results of a national survey, review of the literature, and personal experience. Neurosurgery 1997; 40: 225-36 14. Olson BR, Gumowski J, Rubino D, Oldfield EH. Pathophysiology of hyponatremia after transsphenoidal pituitary surgery. J Neurosurg 1997; 87: 499-507. 15. Sane T, Rantakari K, Poranen A, Tahtela R, Valimaki M, Pelkonen R. Hyponatremia after transsphenoidal surgery for pituitary tumors. J Clin Endocrinol Metab 1994; 79: 1395-8. 16. Seckl JR, Dunger DB, Bevan JS, Nakasu Y, Chowdrey C, Burke CW, Lightman SL. Vasopressin antagonist in early postoperative diabetes insipidus. Lancet 1990; 335: 1353-6. 17. Semple PL, Laws ER Jr. Complications in a contemporary series of patients who underwent transsphenoidal surgery for Cushing's disease. J Neurosurg 1999; 91: 175-9. 18. Partington MD, Davis DH, Laws ER Jr, Scheithauer BW. Pituitary adenomas in childhood and adolescence. Results of transsphenoidal surgery. J Neurosurg 1994; 80: 209-16. 19. Black PM, Zervas NT, Candia GL. Incidence and management of complications of transsphenoidal operation for pituitary adenomas. Neurosurgery 1987; 20: 920-4. 20. Schwarts SI, Shires GT, Spencer FC, Daly JM, Fischer JE, Galloway AC. Principles of surgery. 7th ed. New York: McGraw-Hill 1999.p. 1613-20. 21. Shah S, Har-El G. Diabetes insipidus after pituitary surgery: incidence after traditional versus endoscopic transsphenoidal approaches. Am J Rhinol 2001; 15: 377-9. 22. Arafah BM, Nasrallah MP. Pituitary tumors: pathophysiology, clinical manifestations and management. Endocr Relat Cancer 2001; 8: 287-305. 23. Camus JR, Roussy G. Experimental researches on the pituitary body. Endocrinology 1920; 4: 507-22.