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J Neurosci Nurs. 2013 Apr;45(2):101-7; quiz E1-2. doi: 10.1097/JNN.0b013e3182828e28.

Managing the patient with transsphenoidal pituitary tumor resection.

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1
Kaiser Permanente Foundation Hospitals, Los Angeles Medical Center, Los Angeles, CA, USA. wendyla3@gmail.com

Abstract

Patients who undergo transsphenoidal pituitary tumor resection require a multidisciplinary team approach, consisting of a neurosurgeon, an endocrinologist, and nurses. Successful transsphenoidal surgery needs expert nursing care for early identification and prompt treatment of pituitary dysfunction and neurosurgical complications. Pituitary dysfunction includes adrenal insufficiency, diabetes insipidus, syndrome of inappropriate antidiuretic hormone, and cerebral salt wasting syndrome. Neurosurgical complications may include visual disturbance, cerebrospinal fluid leak, subdural hematoma, and epistaxis.

PMID:
23422696
DOI:
10.1097/JNN.0b013e3182828e28
[Indexed for MEDLINE]
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