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Titolo:
Sphenoidal sinus mucocele after transsphenoidal surgery for acromegaly
Autore:
Kessler, L; Legaludec, V; Dietemann, JL; Maitrot, D; Pinget, M;
Indirizzi:
Cent Hosp, Serv Endocrinol & Malad Metabol, F-67091 Strasbourg, France Cent Hosp Strasbourg France F-67091 Metabol, F-67091 Strasbourg, France Univ Hop Strasbourg, Dept Endocrinol, Strasbourg, France Univ Hop Strasbourg Strasbourg France pt Endocrinol, Strasbourg, France Univ Hop Strasbourg, Dept Radiol, Strasbourg, France Univ Hop Strasbourg Strasbourg France , Dept Radiol, Strasbourg, France Univ Hop Strasbourg, Dept Neurosurg, Strasbourg, France Univ Hop Strasbourg Strasbourg France ept Neurosurg, Strasbourg, France
Titolo Testata:
NEUROSURGICAL REVIEW
fascicolo: 4, volume: 22, anno: 1999,
pagine: 222 - 225
SICI:
0344-5607(199912)22:4<222:SSMATS>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
MICROSURGERY;
Keywords:
sphenoidal sinus; mucocele; acromegaly; transsphenoidal surgery; pituitary surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Kessler, L Cent Hosp, Serv Endocrinol & Malad Metabol, 1 Pl Hop, F-67091 Strasbourg, France Cent Hosp 1 Pl Hop Strasbourg France F-67091 trasbourg, France
Citazione:
L. Kessler et al., "Sphenoidal sinus mucocele after transsphenoidal surgery for acromegaly", NEUROSURG R, 22(4), 1999, pp. 222-225

Abstract

This report concerns one case of a sphenoid sinus mucocele occurring 17 years after transsphenoidal surgery for acromegaly. In 1979, a 51-year-old man was successfully operated by the transnasal transsphenoidal approach for a growth hormone (GH) adenoma 1 cm in diameter. In 1996, the patient was hospitalized for headaches and diplopia. He presented a loss of right visual acuity with paralysis of the right oculomotor nerve. The bas al GH level was normal with a satisfactory decrease after oral glucose ingestion. Pituitary sellar radiography showed a disappearance of the posterior clinoid whilemagnetic resonance imaging revealed the existence of a bilocular, circular, homogeneous lesion of the sphenoid sinus 3 cm in diameter with a posterior and lateral extension. The diagnosis of mucocele was confirmed by surgical treatment, allowing drainage of the mucocele through a transsphenoidal approach. The drained material was composed of sinus epithelium containing many polynuclear and resorptive cells. Postoperatively , the symptoms decreased dramatically, leading to full recovery of visual function and disappearance of the headaches. Apart from the tumor recurrence, the mucocele of the sphenoid sinus can be evoked as a possible long term complication of transsphenoidal sugery for pituitary adenoma.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 00:24:45