ENDOCRINE-INACTIVE PITUITARY ADENOMAS Part of “CHAPTER 23 – NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS“ Endocrine-inactive pituitary adenomas produce clinical effects only as a direct consequence of their growth. Resulting clinical syndromes…
CRANIOPHARYNGIOMA Part of “CHAPTER 23 – NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS“ Craniopharyngiomas have challenged neurologists and neurosurgeons since these tumors were first described in 1903.54 With advances in microsurgical technique,…
CUSHING DISEASE Part of “CHAPTER 23 – NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS“ Cushing disease has fascinated neurosurgeons ever since Harvey Cushing described the clinical syndrome and predicted that one cause…
ACROMEGALY Part of “CHAPTER 23 – NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS“ By the time a patient with a growth hormone (GH)–secreting pituitary adenoma seeks the advice of a neurosurgeon, the…
PROLACTIN-SECRETING ADENOMAS Part of “CHAPTER 23 – NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS“ Prolactin-secreting adenomas comprise the largest group of pituitary tumors. The behavior and relatively benign clinical manifestations of small…
PITUITARY TUMORS Part of “CHAPTER 23 – NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS“ CLASSIFICATION The classic histologic designation of adenomas as chromophobic, eosinophilic, or basophilic on the basis of light microscopy…
NEUROSURGICAL MANAGEMENT OF PITUITARY-HYPOTHALAMIC NEOPLASMS David S. Baskin Advances in endocrinology, neuroradiology, and microneuro-surgery have revolutionized the care of patients with pituitary and hypothalamic tumors. With the development of accurate…
RADIATION TECHNIQUES Part of “CHAPTER 22 – RADIOTHERAPY OF PITUITARYHYPOTHALAMIC TUMORS“ GOALS OF RADIATION THERAPY AND CONVENTIONAL EXTERNAL BEAM TECHNIQUES The primary goal of irradiation of tumors in the pituitary-hypo-thalamic…
COMPLICATIONS OF BRAIN IRRADIATION Part of “CHAPTER 22 – RADIOTHERAPY OF PITUITARYHYPOTHALAMIC TUMORS“ Modern megavoltage radiotherapy produces minimal acute toxicity, including temporary alopecia, mild dermatitis, and a serous otitis media…
HYPOTHALAMIC NEOPLASMS Part of “CHAPTER 22 – RADIOTHERAPY OF PITUITARYHYPOTHALAMIC TUMORS“ GERMINOMA Germinomas typically arise in the floor of the third ventricle and have a propensity to invade and compress…
