TY  - BOOK
AU  - Mohamed Ismail Mohamed Ismail
AU  - Basim Mohamed Ayoub , 
AU  - Mohamed Mamdouh Salama , 
AU  - Wael Mokhtar Elmahdy , 
TI  - Surgical management of recurrent giant pituitary adenomas : : Transcranial versus transsphenoidal approaches / 
PY  - 2019///
CY  - Cairo : 
PB  - Mohamed Ismail Mohamed Ismail , 
KW  - Giant pituitary adenomas
KW  - Recurrent pituitary adenomas
KW  - Surgical management
N1  - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neurosurgery; Issued also as CD
N2  - Management of recurrent giant pituitary adenomas is challenging and debatable. We conducted this study to compare between the transcranial and the transsphenoidal approaches as regards the extent of resection, clinical outcome, morbidities and mortalities. The study included 21 patients; 9 in the transcranial group (Group A) and 12 in the transsphenoidal group (group B). The transsphenoidal approach was associated with better extent of resection, better rate of visual improvement and endocrinological remission and lower rate of post-operative morbidities and mortalities; However, the difference was not statistically significant. We concluded that the transsphenoidal approach is the first option for management of these cases; however, the transcranial approach is still needed for some selected cases
UR  - http://172.23.153.220/th.pdf
ER  -