ISSN:
0942-0940
Keywords:
Keywords: Magnetic resonance imaging; multiple adenomas; transsphenoidal microsurgery.
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary This is the first case of multiple (triple) pituitary micro-adenomas documented by magnetic resonance imaging (MRI) in a living patient and treated by a transsphenoidal microsurgical approach. The patient, a 37-year-old woman, complained of a long history of bifrontal headache, weight gain and oligomenorrhea. Physical examination revealed moderate hirsutism and a slight fat pad overlying the vertebrae. Routine laboratory studies and endocrinological biochemical investigations were normal. A gadolinium-enhanced MRI of the pituitary region revealed three intrapituitary micro-adenomas. A transsphenoidal microsurgical approach to the pituitary gland was carried out and micro-adenomas were completely removed one at a time. One year follow-up showed complete resolution of clinical symptoms and signs and normal biochemical parameters of pituitary function.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s007010050319
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