Surgery for Pituitary Apoplexy: Vision Outcomes in Early vs Late Intervention
DOI:
https://doi.org/10.28922/qmj.2023.19.2.%25pKeywords:
vision, pitutary, apoplexyAbstract
Introduction:
Pituitary apoplexy, with a reported prevalence of 0.6% to 13% in pituitary adenoma series, is commonly characterized as the constellation of neurologic symptoms and endocrine abnormalities resulting from bleeding or infarction of a preexisting pituitary lesion. it is characterized by sudden onset headache, nausea, vomiting, vision impairment, cranial nerve palsies, and, in some cases, loss of consciousness, most frequently due to the loss of pituitary, and hormonal, support.
Aim of the study: based on early pituitary apoplexy decompression, evaluate the visual results of the surgical operation for pituitary apoplexy.
Patients and methods :
In a study conducted between January 2019 to January 2022, Patients with radiological and clinical findings suggest pituitary apoplexy are included in the study, They were divided into two groups: group A those who presented early and underwent early surgical intervention(35 patients two excluded from the study lost in follow-up) and those who presented late group B (34 patients one lost during fellow up) and were scheduled for surgery (early <72 hrs., late>72 hrs. . ),
Results :
Pituitary apoplexy affects 66 patients, with a mean age of 35.66 years and a range of 16 to 68 years. Of these, 34 (51.51%) were men and 32 (48.48%) were women. Visual problems were a common symptom among all individuals. Bi-temporal was the most prevalent visual complaint in 44 patients (66.66%), followed by mono-ocular hemianopia in 13 patients (19.69%), both eye blindness in 4 patients (6.06%), right blindness in 4 patients (6.06%), and left blindness in 1 patient.
P value < 0.05 which is statistically significant that early presentation with early surgical intervention had a better response than a late presentation with late surgical intervention.
Conclusions :
Early surgical decompression of the pituitary fossa for apoplexy yields better results in terms of the resolution of visual issues.
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